Informatics Manager Quality HEDIS

CVS Health Corporation; United States; On-site; USD 54,000 - 146,000; Full time

Job summary

CVS Health is seeking a Health Informatics Specialist to design, implement, and maintain data systems that support clinical workflows and analytics. You will apply healthcare IT expertise to ensure efficient data management and actionable insights for care delivery.

The role focuses on regulatory readiness for HEDIS, AI-enabled change control, and collaboration with informatics teams. A Bachelor’s degree and 3+ years’ experience are expected, with remote US work possible.

Qualifications

• 3+ years relevant work or equivalent experience.
• Adept at SQL and/or Python.
• Adept at Business Intelligence reporting (Tableau, Power BI, etc.).
• Adept at problem solving and decision-making skills.
• Adept at collaboration and teamwork.
• Adept at growth mindset skills.
• Adept at execution and delivery skills.
• Ability to translate non-analytical customer needs into analysis and reporting.

Responsibilities

• Ensure regulatory, audit, and compliance readiness for HEDIS and State reporting.
• Advance governed AI–enabled change control aligned to NCQA, CMS, and state requirements.
• Assess informatics requirements and identify integration opportunities for new tech.
• Assist data, reporting, and analytics to help internal teams draw insights.
• Coach informatics team on statistical and computational methods.
• Conduct literature reviews on data management, ML, and AI.
• Consult with industry partners to apply findings in real settings.
• Design documentation for system specifications and user guides.
• Define data models, integration processes, and governance policies.
• Develop data migration systems with data management teams.
• Establish testing systems to ensure defined requirements are met.

Skills

SQL

Python

BI reporting

Problem solving

Collaboration

Growth mindset

Execution

Requirements translation

Education

Bachelor's degree

Tools

Tableau

Power BI

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

May reside anywhere in the US

Position Summary

Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems, analyzing healthcare data, and utilizing technology to support clinical workflows and decision-making. Applies expertise in healthcare and information technology to ensure efficient data management, promote data-driven insights, and enhance the delivery of healthcare services.

What you will do

• Ensure regulatory, audit, and compliance readiness for HEDIS and State reporting
• Advance governed AI–enabled change control aligned to NCQA, CMS, and state requirements—improving consistency and cycle time with maintained accountability
• Assesses the requirements of the informatics department and identifies integration opportunities for new technologies and system processes
• Assists the informatics team in the management of the data, reporting, and analytics function to help internal teams draw meaningful conclusions.
• Coaches the informatics team on how to apply statistical and computational methods to analyze research data.
• Conducts thorough literature reviews to understand the current state of knowledge data management, information systems, machine learning, and artificial intelligence.
• Confers with industry partners on ways to apply research findings to real-world settings to advance industry knowledge.
• Designs a documentation system for the informatics system to outline system specifications, architectural diagrams, and user guides.
• Determines best approaches to define data models, data integration processes, and data governance policies for the informatics department.
• Develops complex data migration systems to coordinate with data management teams to ensure accuracy in transferring information into new informatics systems.
• Establishes a testing system for the informatics department to ensure defined requirements and functions are met.

Required Qualifications

• 3+ years relevant work or equivalent experience
• Adept at SQL and/or Python
• Adept at Business Intelligence reporting (Tableau, Power BI, etc.)
• Adept at problem solving and decision-making skills
• Adept at collaboration and teamwork
• Adept at growth mindset (agility and developing yourself and others) skills
• Adept at execution and delivery (planning, delivering, and supporting) skills
• Ability to translate non-analytical customer needs into analysis and reporting and communicate data insights

Preferred Qualifications

• Experience working in Healthcare Quality Management
• Experience with NCQA HEDIS and other quality metrics
• Experience with AI-facilitated reporting with disciplined governance and oversight

Education

• Bachelor's degree or equivalent work experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $54,300.00 - $145,860.00

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/10/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.