Informatics Manager – Quality HEDIS

Job not on LinkedIn

🔥 10 minutes ago

🇺🇸 United States – Remote

💵 $54.3k - $145.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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

• Ensure regulatory, audit, and compliance readiness for HEDIS and State reporting • Advance governed AI-enabled change control aligned to NCQA, CMS, and state requirements • Assess informatics department requirements and identify integration opportunities for new technologies and system processes • Assist the informatics team in managing data, reporting, and analytics functions • Coach the informatics team on applying statistical and computational methods to research data • Conduct literature reviews on data management, information systems, machine learning, and artificial intelligence • Confer with industry partners on applying research findings to real-world settings • Design documentation systems outlining system specifications, architectural diagrams, and user guides • Define data models, data integration processes, and data governance policies • Develop complex data migration systems and coordinate with data management teams to ensure transfer accuracy • Establish testing systems to ensure requirements and functions are met

🎯 Requirements

• 3+ years relevant work or equivalent experience • Adept at SQL and/or Python • Adept at Business Intelligence reporting (Tableau, Power BI, etc.) • 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 • Experience working in Healthcare Quality Management • Experience with NCQA HEDIS and other quality metrics • Experience with AI-facilitated reporting with disciplined governance and oversight • Bachelor's degree or equivalent work experience

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program in addition to base pay