Informatics Manager, Risk Adjustment Analytics - Hispanic Alliance for Career Enhancement : Job Details

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 more connected, more convenient, and more compassionate. We do it all with heart, each and every day.

CVS Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team. In this role, you will support data analysis, predictive modeling, and evaluation reporting within our Medicaid lines of business.

The position involves extracting, collecting, analyzing, and interpreting health, utilization, and financial data from various sources to address business questions related to population health management, health and economic outcomes, and other needs.

You will be responsible for maintaining risk score model integrity across multiple states and communicating key drivers of results to business leaders.

This is a great opportunity to work directly with different teams across the organization and make a meaningful impact on our business.

Successful candidates will possess the following abilities:

Required Qualifications:

• 5+ years of data analytics experience.
• 3+ years of experience in programming fundamentals in SQL, SAS, or similar software.
• 3+ years of experience creating reports and pivot tables in Excel.

Preferred Qualifications:

• Knowledge of government-regulated healthcare programs such as Medicare or Medicaid.
• Understanding of health insurance concepts.
• Experience in risk adjustment.
• Experience working at a health plan.
• Attention to detail and ability to work independently.
• Project management experience.

Education: Bachelor's Degree or equivalent work experience required.

Anticipated Weekly Hours: 40

Time Type: Full-time

Pay Range: The typical pay range is $54,300 - $159,120, depending on experience, education, and location. The role may be eligible for bonuses or incentive programs.

Our colleagues are our future. We are committed to fostering a workplace where everyone feels valued and belongs.

Great benefits for great people:

• Affordable medical plans, 401(k) with matching, and stock purchase plans.
• No-cost wellness, counseling, and financial programs.
• Flexible benefits including paid time off, family leave, dependent care, tuition assistance, and more.

For more info, visit

Application deadline: 05/25/2025.

Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.