Informatics Manager - Quality - HEDIS

Reposted Yesterday
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Hiring Remotely in Home, Klouékanmè, Kouffo, BEN
Remote
54K-146K Annually
Mid level
Fitness • Healthtech • Retail • Pharmaceutical
The Role
Lead informatics efforts for HEDIS and state reporting by designing, implementing, and maintaining health information systems; manage data, reporting, analytics, migration, governance, testing, and AI-enabled change control; coach team on statistical and computational methods and ensure regulatory and compliance readiness.
Summary Generated by Built In

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.

Candidate may reside anywhere in US

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

  • Ensure regulatory, audit, and compliance readiness for HEDIS and State reporting
  • Advance governed AI–enabled change control aligned to NCQA, CMS, and state requirements—improving consistency and cycle time with maintained accountability
  • 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

  • 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

Preferred Qualifications

  • Experience working in Healthcare Quality Management
  • Experience with NCQA HEDIS and other quality metrics
  • Experience with AI-facilitated reporting with disciplined governance and oversight
  • Preferred education in Statistics, Mathematics, Data Analytics, or related STEM field.

Education

  • Bachelor's degree or equivalent work experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $145,860.00

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.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


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

We anticipate the application window for this opening will close on: 09/02/2026

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

Skills Required

  • 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
  • Bachelor's degree or equivalent work experience
  • Experience working in Healthcare Quality Management
  • Experience with NCQA HEDIS and other quality metrics
  • Experience with AI-facilitated reporting with disciplined governance and oversight
  • Preferred education in Statistics, Mathematics, Data Analytics, or related STEM field

CVS Health Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.

  • Healthcare Strength Health coverage includes medical, dental, and vision with HSA-eligible options, free preventive care, virtual care, and access to MinuteClinic services. Mental-health resources such as counseling support are emphasized, and coverage is often considered solid for full-time colleagues.
  • Retirement Support A dollar-for-dollar 401(k) match up to 5% after one year and an Employee Stock Purchase Plan are consistently highlighted in Total Rewards materials. Feedback suggests retirement programs are a meaningful strength within the overall package.
  • Wellbeing & Lifestyle Benefits Wellbeing offerings include up to 20 no-cost counseling sessions per issue, backup care, tuition assistance, and substantial in-store discounts, alongside broader wellness tools. These everyday perks expand value beyond base pay and can be especially meaningful for full-time schedules.

CVS Health Insights

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The Company
HQ: Woonsocket, RI
119,959 Employees
Year Founded: 1963

What We Do

CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.

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