Lead Director, Risk Adjustment Analytics & AI Insights

CVS Health; Austin (TX); On-site; USD 100,000 - 232,000; Full time

Job summary

CVS Health is seeking a Lead Director of Informatics to guide enterprise risk adjustment analytics, performance reporting, and insights within Revenue Integrity. You will transform complex clinical, claims, and risk data into actionable intelligence to drive provider performance and program efficiency.

You will lead AI-enabled analytics modernization, collaborate with Market leads, Finance, Clinical, and IT, and provide strategic data storytelling to executives while shaping the organization’s

Qualifications

• 10+ years of healthcare analytics, informatics, performance insights, actuarial, value-based, or business intelligence experience.
• 2+ years of leadership experience managing analytics, reporting, or business intelligence
• Strong executive communication, strategic thinking, stakeholder management, and team development skills.
• Advanced experience and familiarity with programming languages (such as SQL, Python, etc.) and BI platforms such as Power BI, Tableau, QuickSight
• Proven ability to lead complex analytics portfolios, establish priorities, and maintain organization in developer code and processes

Responsibilities

• Lead risk adjustment analytics portfolios with KPI dashboards and performance drivers.
• Develop provider performance analytics for gap closure and outcomes.
• Drive AI and modern BI capabilities across analytics platforms.
• Partner with Informatics, Data Engineering, and IT teams to build scalable analytics solutions.
• Establish governance, KPI definitions, and an enterprise analytics framework.

Skills

Healthcare analytics

Leadership

Executive communication

SQL

Python

Power BI

Tableau

QuickSight

Education

Bachelor's degree

Master's degree preferred

Tools

Power BI

Tableau

QuickSight

SQL

Python

Job description

CVS Health is seeking a Lead Director of Informatics to guide enterprise risk adjustment analytics, performance reporting, and insights within Revenue Integrity. You will transform complex clinical, claims, and risk data into actionable intelligence to drive provider performance and program efficiency.

You will lead AI-enabled analytics modernization, collaborate with Market leads, Finance, Clinical, and IT, and provide strategic data storytelling to executives while shaping the organization’s