Senior Director, Medicare Advantage & ACA Risk Informatics

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

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health is seeking a Lead Director, Informatics to guide Medicare Advantage and ACA risk adjustment analytics, predictive modeling, and financial valuations. This senior role influences strategic decisions with senior management and cross-functional partners.

The position may sit anywhere in the US, offering oversight of risk adjustment programs and data-driven opportunities. You will lead a team across analytics, informatics, and data science, delivering impactful insights while ensuring

Qualifications

• Requires 10+ years in healthcare analytics, informatics, risk adjustment, or related fields.
• Minimum 2+ years of leadership experience with direct reports.
• Strong proficiency in SQL, SAS, Python, and BigQuery for analytics.
• Experience with predictive analytics, ML, and data science concepts.

Responsibilities

• Lead enterprise risk adjustment analytics supporting score completeness and accuracy.
• Drive AI and predictive analytics to improve population health and financial outcomes.
• Collaborate with executives to shape strategy and investment in analytics.
• Oversee data governance, compliance, and data integrity controls.
• Mentor leaders and developers across analytics, informatics, and data science.

Skills

Healthcare analytics

Leadership

Executive communication

Data governance

Education

Bachelor's degree in a related field

Master's degree preferred

Tools

SQL

SAS

Python

BigQuery

Job description

CVS Health is seeking a Lead Director, Informatics to guide Medicare Advantage and ACA risk adjustment analytics, predictive modeling, and financial valuations. This senior role influences strategic decisions with senior management and cross-functional partners.

The position may sit anywhere in the US, offering oversight of risk adjustment programs and data-driven opportunities. You will lead a team across analytics, informatics, and data science, delivering impactful insights while ensuring