Lead Director – Informatics Reporting

Vaga não está no LinkedIn

🕒 Julho 20

🦌 Connecticut – Remoto

🦌 Connecticut – Remote

💵 $100.000 - $231.540 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Diretor

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CVS Health

SiteLinkedInTodas as Vagas

10.000+ funcionários

Fundada em 1963

🏥 Saúde

⚕️ Seguro de Saúde

🛒 Varejo

Healthcare • Healthcare Insurance • Retail

CVS Health é uma empresa líder de saúde nos Estados Unidos, dedicada a ampliar o acesso e a acessibilidade ao cuidado. A empresa adota uma abordagem abrangente que inclui serviços de saúde, seguro saúde e gestão de benefícios farmacêuticos (PBM). Por meio de suas subsidiárias, como Aetna e CVS Caremark, a CVS Health oferece uma variedade de serviços que promovem o bem-estar, a gestão de condições de saúde e a cobertura acessível de medicamentos prescritos. A CVS Health opera farmácias de bairro, oferece serviços de farmácia por correspondência e gerencia programas de medicamentos de especialidade, com o objetivo de tornar o cuidado com a saúde conveniente e acessível para todos. Movida pela missão de conectar pessoas a serviços essenciais de cuidado, a CVS Health está comprometida em fomentar comunidades mais saudáveis e apoiar o bem-estar de todas as pessoas.

Descrição

• Define and execute the data and reporting strategy for the Grievances & Appeals organization • Manage and optimize informatics reporting processes, systems, and strategies • Lead development and execution of reporting strategies aligned with organizational goals • Oversee selection, implementation, and maintenance of reporting systems, schedules, and infrastructure • Evaluate and recommend reporting tools, databases, and platforms • Identify stakeholder reporting needs, create meaningful visualizations, and ensure data accuracy and consistency • Establish and enforce reporting governance frameworks, policies, and procedures • Improve reporting efficiency, accuracy, and usability through automation, data visualization, and self-service reporting • Establish performance metrics and reporting mechanisms • Bridge IT delivery, enterprise analytics, and clinical/operational leadership for risk management and regulatory compliance • Lead teams analyzing G&A data and generating actionable insights on appeals, grievances, root causes, regulatory performance, and productivity • Ensure adherence to healthcare regulations and audit requirements • Maintain data integrity, traceability, and auditability • Build internal informatics and analytics capabilities, scalable operating models, reusable data assets, and self-service solutions • Drive continuous improvement through automation and standardization • Define informatics team job functions and role clarity • Lead, mentor, and develop analytics and reporting talent • Apply healthcare expertise to claims, grievances, authorization, appeals, lifecycle management, and compliance tracking

🎯 Requisitos

• 10+ years of experience in informatics, analytics, or business intelligence • Strong healthcare domain experience, preferably in claims, grievances, authorization, and appeals • Demonstrated leadership in data strategy, reporting, and team development • Bachelor’s degree required • Experience in Aetna EDP platform preferred • Experience in GCP, including BigQuery and Looker/Cloud preferred • Experience implementing AI technologies into reporting processes preferred • Experience with Coginiti, Dataiku, Tableau, Power BI, SAP reporting tools, and Quick Base preferred • Familiarity with Agile SDLC preferred • Proficiency in Microsoft Office tools, including PowerPoint, Excel, and Word, and SharePoint • Experience engaging with executive leadership • Experience identifying and implementing process improvements • Experience leading analytics teams and translating requirements into actionable solutions

🏖️ Benefícios

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Award target in the company’s equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility