Quality HEDIS Informatics Manager

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.

Position Summary
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.

What you will do

• 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.

Required Qualifications

• 5+ years relevant work experience

• Adept programming in SQL, Python

• 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

Preferred Qualifications

• Experience working within Healthcare Quality Management

• Experience with NCQA HEDIS and other quality metrics

• Outcomes research experience

Education

• Bachelors Degree in Statistics, Mathematics, Data Analytics, or related STEM field preferred

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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.

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.

Additional details about available benefits are provided during the application process and on Benefits Moments.

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