Senior Director, Risk Adjustment Analytics & Insights

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

Benefits offered by this job

Bonus eligibility

Equity awards

Comprehensive benefits

Job summary

CVS Health is seeking a Lead Director, Informatics (Performance Reporting & Insights) to drive enterprise risk adjustment analytics and business intelligence solutions. You will transform clinical, operational, and risk data into actionable insights for provider performance and executive decision-making.

The role is customer-facing, offering strategic guidance to Market leads, Finance, Clinical, and Operational partners, with a focus on AI-enabled analytics and advanced visualizations to support

Qualifications

• 10+ years of healthcare analytics, informatics, performance insights, actuarial, value-based, or business intelligence experience.
• 2+ years of leadership experience managing analytics, reporting, or business intelligence.
• Strong executive communication, strategic thinking, stakeholder management, and team development skills.
• Advanced experience with programming languages (SQL, Python) and BI platforms (Power BI, Tableau, QuickSight).
• Proven ability to lead complex analytics portfolios, establish priorities, and maintain organization in developer code and processes.
• Familiarity with Medicare, Medicaid, ACA risk adjustment methodologies is a plus.

Responsibilities

• Lead risk Adjustment performance reporting with KPI dashboards and insights.
• Oversee provider performance analytics to drive gap closure and risk adjustment outcomes.
• Drive Analytics Innovation, AI adoption, automation, and modern BI capabilities.
• Lead analytics delivery with cross-functional stakeholder engagement and governance.

Skills

SQL

Python

Power BI

Tableau

QuickSight

Executive communication

Leadership

Education

Bachelor's degree

Master's degree

Job description

CVS Health is seeking a Lead Director, Informatics (Performance Reporting & Insights) to drive enterprise risk adjustment analytics and business intelligence solutions. You will transform clinical, operational, and risk data into actionable insights for provider performance and executive decision-making.

The role is customer-facing, offering strategic guidance to Market leads, Finance, Clinical, and Operational partners, with a focus on AI-enabled analytics and advanced visualizations to support