Lead Director - Quality HEDIS Analytics

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Leads quality measure focused forecasting analytics and tableau dashboard team. Administers quality management data and analytics strategy to achieve internal and external constituent expectations for demonstrating quality outcomes and predicting future expected performance. Aligns policies and procedures for the Health Care Quality Management area with organizational goals. Develops methodologies to measure and monitor the quality and effectiveness of care and service provided to members.

What you will do

Lead team of experienced analysts in support of HEDIS and other quality measure performance forecasting (ARIMA, exponential smoothing, regression methodologies)

Guide analysts in development and maintenance of suite of Tableau-based dashboards spanning multiple healthcare products, highlighting quality and medical economic metrics

Drive planning and administration of company programs and analytic initiatives that promote the Health Care Quality Management area's agenda.

Implements organizational policies, goals, and objectives based on best practices in the field.

Contributes to top-level decision making for the Health Care Quality Management area.

Facilitate quality improvement initiative data reporting based on results of data collection and quality reporting.

Ensures compliance with all government regulations and quality standards.

Controls expenses to meet operational, functional, and service requirements in alignment with budget parameters.

Communicates strategically with all stakeholders to influence support for key quality projects, programs, and solutions.

Manages operational aspects of the team (e.g., budget, performance, and compliance), and implements workforce and succession plans to meet business needs.

Minimum Requirements :

Bachelor's degree in STEM or Medical Informatics disciplines or equivalent job experience.

10+ years technical expertise in developing predictive models

5+ years management experience leading data and analytics teams

Adept at execution and delivery

Adept at collaboration and teamwork in large matrixed organizations

Adept at business intelligence development and maintenance for non-analytical audiences

Mastery of problem solving and decision-making

Mastery of growth mindset (agility and developing yourself and others)

Preferred Experience :

5+ years working within healthcare quality organizations or quality-adjacent functions (Value Based Care, Population Health, etc.)

5+ years leading and providing active guidance in development and maintenance of predictive modeling, statistical modeling and advanced analytics work

5+ years translating business requirements into python and SQL

5+ years presenting and communicating with Senior and Executive Leaders

Master's Degree in Analytics, Statistics, STEM or related fields

Education

Bachelor's degree in STEM or Medical Informatics disciplines or equivalent job experience.

Master's degree (preferred)

Pay Range

The typical pay range for this role is

$100,000.00 - $231,540.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https : / / jobs.cvshealth.com / us / en / benefits

We anticipate the application window for this opening will close on : 10 / 17 / 2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.