Lead Director, Risk Adjustment Analytics & Insights

Hispanic Alliance for Career Enhancement; Georgia; Hybrid; USD 100,000 - 232,000; Full time

Benefits offered by this job

Medical, dental & vision

Retirement options

Paid time off

Job summary

CVS Health is seeking a Lead Director, Informatics (Performance Reporting & Insights) to lead enterprise risk adjustment analytics and BI solutions. This role translates complex clinical and operational data into actionable insights that inform provider performance and executive decisions.

You will guide AI-driven analytics, establish governance, and partner with Market Leads, Finance, Clinical, and IT to drive modernization of analytics platforms and self-service reporting.

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 with programming languages such as SQL, Python, and BI platforms like 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 performance reporting with KPIs, trends, and performance drivers across markets, plans, and providers.
• Develop provider performance analytics to close gaps and improve risk adjustment outcomes.
• Drive analytics innovation, AI adoption, automation, and modern BI capabilities across the organization.
• Partner with Informatics, Data Engineering, and IT to build scalable, integrated analytics solutions.
• Establish KPI definitions and governance, plus an enterprise analytics framework.

Skills

Healthcare analytics

Leadership

Executive communication

SQL

Python

Power BI

Tableau

QuickSight

Stakeholder management

Data storytelling

Education

Bachelor's degree

Master's degree

Tools

Power BI

Tableau

QuickSight

Job description

CVS Health is seeking a Lead Director, Informatics (Performance Reporting & Insights) to lead enterprise risk adjustment analytics and BI solutions. This role translates complex clinical and operational data into actionable insights that inform provider performance and executive decisions.

You will guide AI-driven analytics, establish governance, and partner with Market Leads, Finance, Clinical, and IT to drive modernization of analytics platforms and self-service reporting.