Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health.
This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
CVS Health has an exciting opportunity for a Senior Informatics Manager to join our dynamic Medicaid Risk Adjustment Analytics team! In this role you will provide complex analytics and reporting to address business questions regarding population health management, health and economic outcomes, and other business needs.
Responsibilities
Perform analysis to identify and prioritize members outreached for prospective and retrospective programs
Identify opportunities to optimize risk scores, while maintaining compliance with CMS standards and State specific methodologies
Build reports and dashboards to track risk adjustment programs, and evaluate the effectiveness and quality of those initiatives
Provide analysis and recommendations for process improvements
Collaborate with internal business partners on risk adjustment programs
Assist in performing analysis used in the development of program sizing and financial projections
Required Qualifications
8+ years of analytical experience working with large complex data sets
Experience working with healthcare claims data, or knowledge of health insurance concepts
Working knowledge of CPT, ICD, and NDC codes
5+ years’ experience in technical programming fundamentals in either SQL, SAS or similar programming language
Able to manage multiple tasks / projects with competing priorities
Effective communication skills (verbal, written, presentation, interpersonal) with all levels / types of audiences
Preferred Qualifications
Knowledge of government-regulated healthcare programs such as Medicaid or Medicare
Risk Adjustment experience / knowledge
Education
Bachelor's Degree or equivalent work experience required
Pay Range
The typical pay range for this role is :
$75,400.00 - $190,700.00
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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.
The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.
The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.
CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.
As for time off, Company employees enjoy Paid Time Off ( PTO ) or vacation pay, as well as paid holidays throughout the calendar year.
Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
Senior Risk Adjustment Informatics Manager
CVS Health has an exciting opportunity for a Senior Informatics Manager to join our dynamic Medicaid Risk Adjustment Analytics team! In this role you will provide complex analytics and reporting to address business questions regarding population health management, health and economic outcomes, and o...
Senior Audit Manager - Tprm/legal Risk
As a dedicated Senior Audit Manager - Third-Party Risk Management / Legal Risk, you will manage audit engagements, varying in complexity, and often participates in complex, cross-functional risk-based assurance and advisory engagements driving quality of audit work. Influences business and clients a...
Senior Federal Project Manager (flood Risk Mitigation)
AECOM is actively seeking a talented Senior Federal Project Manager for immediate employment in our Central Civil Works Department. Experience as a Project Manager for USACE projects related to flood risk management is a strong priority/focus of this role. Strong understanding of civil works, flood ...
Senior Manager, Mortgage Capital Markets Credit Risk
Exhibit the ability to perform in-depth financial and credit risk analysis, manage transaction flow independently, present transactions effectively at Corporate Senior Credit Committee and coordinate the transaction approval process as necessary with senior management. Support Director and senior ma...
Governance, Risk, and Compliance Manager or Senior Manager - Asset Management
Weaver’s Governance, Risk, and Compliance practice is looking for a Manager or Senior Manager to join our growing Asset Management team! You will be a core member of our team and the role will work on client engagements in the asset management/financial services sector. Our ideal Manager/Senior Mana...
Senior Manager, Informatics
Aetna’s Reporting Solutions team is looking for a highly motivated Senior Manager, Informatics to join our Tech Enablement team. This senior management role is a part of the Aetna Commercial’s Sales Enablement department. ...
Senior Project Manager - School of Biomedical Informatics
Plans, organizes and coordinates project management activities ensuring that the project is successfully implemented within budget and on-schedule.Position Key Accountabilities:.Coordination and management of project planning, project development, and strategic planning among various staff and deter...
Senior Manager, Mortgage Capital Markets Credit Risk
Exhibit the ability to perform in-depth financial and credit risk analysis, manage transaction flow independently, present transactions effectively at Corporate Senior Credit Committee and coordinate the transaction approval process as necessary with senior management. Support Director and senior ma...
Model Risk Management (Artificial Intelligence) - Senior Manager
The Model Risk Management team, within Enterprise Risk, focuses on managing FinTech model risk across a dynamic ecosystem of banking, payments, wealth, trading, treasury, and risk businesses; ensuring model environments are sound, secure, controlled, and in compliance with corporate model risk pract...
Managing Consultant, Climate Risk Financial Manager (Senior Level)
Build templated quantitative methodologies for climate financial risk estimation that can be leveraged on climate projects, with a focus on transition risk. ERM’s Climate Risk and Opportunity Advisory (CROA). This role will focus on quantifying the financial implications of climate risk, but there a...