Informatics Manager - Quality - HEDIS

Join Us At CVS Health

We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems, analyzing healthcare data, and utilizing technology to support clinical workflows and decision-making. Applies expertise in healthcare and information technology to ensure efficient data management, promote data-driven insights, and enhance the delivery of healthcare services.

• Ensure regulatory, audit, and compliance readiness for HEDIS and State reporting
• Advance governed AI–enabled change control aligned to NCQA, CMS, and state requirements—improving consistency and cycle time with maintained accountability
• Assesses the requirements of the informatics department and identifies integration opportunities for new technologies and system processes
• Assists the informatics team in the management of the data, reporting, and analytics function to help internal teams draw meaningful conclusions.
• Coaches the informatics team on how to apply statistical and computational methods to analyze research data.
• Conducts thorough literature reviews to understand the current state of knowledge data management, information systems, machine learning, and artificial intelligence.
• Confers with industry partners on ways to apply research findings to real-world settings to advance industry knowledge.
• Designs a documentation system for the informatics system to outline system specifications, architectural diagrams, and user guides.
• Determines best approaches to define data models, data integration processes, and data governance policies for the informatics department.
• Develops complex data migration systems to coordinate with data management teams to ensure accuracy in transferring information into new informatics systems.
• Establishes a testing system for the informatics department to ensure defined requirements and functions are met.

• 3+ years relevant work or equivalent experience
• Adept at SQL and/or Python
• Adept at Business Intelligence reporting (Tableau, Power BI, etc.)
• Adept at problem solving and decision-making skills
• Adept at collaboration and teamwork
• Adept at growth mindset (agility and developing yourself and others) skills
• Adept at execution and delivery (planning, delivering, and supporting) skills
• Ability to translate non-analytical customer needs into analysis and reporting and communicate data insights

• Experience working in Healthcare Quality Management
• Experience with NCQA HEDIS and other quality metrics
• Experience with AI-facilitated reporting with disciplined governance and oversight
• Preferred education in Statistics, Mathematics, Data Analytics, or related STEM field.

• Bachelor's degree or equivalent work experience

Anticipated Weekly

Hours:

40

Time Type:
Full time

Pay Range: $54,300.00 - $

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.