Lead Director, Risk Adjustment Analytics & Insights

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

Benefits offered by this job

Medical, dental, vision

Paid time off

Retirement savings

Wellness programs

Equity awards

Bonus eligibility

Job summary

CVS Health is seeking a Lead Director, Informatics (Performance Reporting & Insights) to lead enterprise risk adjustment analytics and business intelligence solutions. This role transforms complex clinical, operational, and risk data into actionable insights that drive provider performance and executive decision-making.

This customer-facing leader will partner with Market leads, Finance, Clinical, and IT teams, guide BI input modeling, and champion AI-enabled analytics and automation across the

Qualifications

• 10+ years of healthcare analytics, informatics, performance insights, actuarial, value-based, or business intelligence experience.
• 2+ years of leadership in analytics, reporting, or business intelligence.
• Strong executive communication, strategic thinking, stakeholder management, and team development skills.
• Advanced experience with SQL and Python; proficient in BI platforms such as Power BI, Tableau, QuickSight.
• Knowledge of Medicare, Medicaid, ACA risk adjustment preferred.

Responsibilities

• Lead risk adjustment performance reporting and dashboards across markets, plans, and providers.
• Develop provider performance analytics to identify gaps and drive action.
• Drive AI, automation, and modern BI capabilities across analytics platforms.
• Partner with cross-functional leaders to align analytics priorities and deliver data-driven insights.

Skills

Leadership

Healthcare analytics

Executive communication

Stakeholder management

SQL & Python

Power BI/Tableau/QuickSight

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 business intelligence solutions. This role transforms complex clinical, operational, and risk data into actionable insights that drive provider performance and executive decision-making.

This customer-facing leader will partner with Market leads, Finance, Clinical, and IT teams, guide BI input modeling, and champion AI-enabled analytics and automation across the