Lead Director, Risk Adjustment Analytics & Insights

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

Benefits offered by this job

Comprehensive benefits

Bonus potential

Equity awards

Job summary

CVS Health is seeking a Lead Director, Informatics to lead enterprise risk adjustment analytics and BI solutions. You will transform clinical and claims data into actionable insights to drive provider performance and executive decision-making.

This customer-facing role partners with Market leads, Finance, Clinical, and Operations, guiding AI-enabled analytics, data storytelling, and governance to modernize reporting and forecasting.

Qualifications

• 10+ years in healthcare analytics, informatics, or BI.
• 2+ years of leadership in analytics, reporting, or BI.
• Strong executive communication and stakeholder management.
• Proficiency in SQL, Python, and BI tools.
• Ability to lead complex analytics portfolios and prioritize work.

Responsibilities

• Lead risk adjustment performance reporting with KPI dashboards.
• Quantify drivers of risk movement for leadership.
• Oversee provider performance analytics and improvement initiatives.
• Drive AI, automation, and modern BI capabilities.
• Guide analytics delivery with governance and priorities.

Skills

Healthcare analytics

Leadership

Executive communication

SQL

Python

Education

Bachelor's degree

Master's degree

Tools

Power BI

Tableau

QuickSight

Job description

CVS Health is seeking a Lead Director, Informatics to lead enterprise risk adjustment analytics and BI solutions. You will transform clinical and claims data into actionable insights to drive provider performance and executive decision-making.

This customer-facing role partners with Market leads, Finance, Clinical, and Operations, guiding AI-enabled analytics, data storytelling, and governance to modernize reporting and forecasting.