Lead Director, Risk Adjustment Analytics & Insights

CVS Health Corporation

Maryland

Hybrid

USD 100,000 - 232,000

Full time

14 days+
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Job summary

CVS Health is seeking a Lead Director of Informatics (Performance Reporting & Insights) to guide enterprise risk adjustment analytics and BI solutions. You will turn clinical, operational, and risk data into actionable insights for executive decisions, using data storytelling and advanced visuals, with AI and automation shaping the strategy.

The role emphasizes building scalable analytics, KPI governance, and delivering actionable insights across markets, plans, and providers to improve

Qualifications

  • 10+ years of healthcare analytics, informatics, performance insights, actuarial, value-based, or BI experience.
  • 2+ years of leadership experience managing analytics, reporting, or BI.
  • Strong executive communication, strategic thinking, stakeholder management, and team development skills.
  • Advanced experience with SQL, Python, and BI platforms (Power BI, Tableau, QuickSight).

Responsibilities

  • Lead risk adjustment performance reporting with dashboards and insights for markets, plans, and providers.
  • Develop provider performance analytics to close gaps and improve outcomes.
  • Drive analytics innovation, AI adoption, and modern BI capabilities.
  • Lead a BI team and partner with Risk Adjustment, Finance, Actuarial, Clinical, and IT leaders.

Skills

SQL
Python
Power BI
Tableau
Leadership
Communication

Education

Bachelor's degree
Master's degree in related field

Tools

Power BI
Tableau
QuickSight

Job description

CVS Health is seeking a Lead Director of Informatics (Performance Reporting & Insights) to guide enterprise risk adjustment analytics and BI solutions. You will turn clinical, operational, and risk data into actionable insights for executive decisions, using data storytelling and advanced visuals, with AI and automation shaping the strategy.

The role emphasizes building scalable analytics, KPI governance, and delivering actionable insights across markets, plans, and providers to improve

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