Lead Director – Informatics Reporting

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🔥 15 hours ago

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Manages and optimizes Informatics reporting processes, systems, and strategies to provide accurate and timely information to key stakeholders. • Provides strategic leadership in the development and execution of reporting strategies aligned with the organization's goals. • Oversees the selection, implementation, and maintenance of reporting systems, schedules, and infrastructure. • Evaluates and recommends appropriate reporting tools, databases, and platforms to support efficient and accurate reporting processes. • Collaborates with stakeholders to identify reporting needs and requirements, design and create meaningful visualizations, and ensure data accuracy and consistency. • Establishes and enforces reporting governance frameworks, policies, and procedures by ensuring compliance with relevant regulations, such as data privacy, security, and industry standards. • Identifies opportunities to enhance reporting efficiency, accuracy, and usability through automation, data visualization, and self-service reporting capabilities. • Establishes performance metrics and reporting mechanisms to assess the effectiveness of reporting initiatives. • Act as a bridge between IT delivery, enterprise analytics, and clinical/Operational leadership to ensure risk management and regulatory compliance needs. • Leads teams of data analysts and specialists to analyze core G&A data and generate actionable insights. • Drives proactive insights for operational improvement and compliance readiness • Ensures adherence to healthcare regulations and audit requirements specific to grievances and appeals. • Maintains high standards of data integrity, traceability, and auditability. • Aligns reporting practices with enterprise data governance standards. • Builds in-house informatics and analytics capabilities to reduce reliance on external teams. • Creates robust job functions and role clarity within the informatics team. • Leads, mentors, and develops talent across analytics, reporting, and domain expertise. • Applies deep expertise in Healthcare claims, grievances, authorization and appeals processes.

🎯 Requirements

• 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 • Experience in Aetna EDP platform. • Experience in GCP (Big Query, Looker, Cloud) • Experience in implementing AI technologies into existing reporting processes. • Experience Coginiti, Dataiku, Tableau, PBI, SAP reporting tools, Quick Base. • Familiarity with Agile SDLC. • Proficient in Office tools (Power point/Excel/word) and Share point. • Experience engaging with executive leadership. • Experience in identifying and implementing process improvements. • Experience leading analytics team and translating their requirements into clear, actionable solutions. • Education: Bachelors Degree Required, Masters Preferred

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility

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