Lead Director, Risk Adjustment Analytics & Insights

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

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Lead Director of Informatics to drive enterprise risk adjustment analytics and BI solutions. You will transform clinical, operational, and risk data into actionable insights for executive decision-making and program efficiency.

The role is customer-facing and partners with Market leads, Finance, Clinical, and Operational teams, providing technical guidance on BI input modeling and calculations.

Qualifications

• 10+ years of healthcare analytics, informatics, performance insights, actuarial, value-based, or BI experience.
• 2+ years of leadership experience managing analytics, reporting, or business intelligence.
• Strong executive communication, stakeholder management, and team development skills.
• Advanced experience with SQL and Python; proficient with BI platforms.

Responsibilities

• Lead risk adjustment performance reporting with dashboards and actionable insights.
• Develop provider performance analytics and drive gap closure and improvements.
• Drive analytics modernization, AI adoption, and self-service reporting capabilities.
• Lead the analytics team and partner with executives across Risk Adjustment, Finance, Clinical, and IT.

Skills

Healthcare analytics

Leadership

Executive communication

Strategic thinking

Stakeholder management

Education

Bachelor's degree or equivalent

Master's degree preferred

Tools

Power BI

Tableau

QuickSight

Job description

CVS Health is seeking a Lead Director of Informatics to drive enterprise risk adjustment analytics and BI solutions. You will transform clinical, operational, and risk data into actionable insights for executive decision-making and program efficiency.

The role is customer-facing and partners with Market leads, Finance, Clinical, and Operational teams, providing technical guidance on BI input modeling and calculations.