Job Description
The Lead Director of Informatics will report directly to the Executive Director of Informatics. In this role, the successful candidate needs to be a data storyteller, using all data sources to identify and track early trends. Their mandate is to summarize interesting facts and use data for inspiration for the Population Health team as well as all of Aetna Medicaid Medical Affairs. Those facts and inspiration will become the input for Aetna Medicaid Population Health decision-makers with the successful ideas becoming candidates for more rigorous statistical follow-up and enlargement of opportunities.
The successful candidate will need to utilize available data to maximize ideation while avoiding coming to conclusions beyond the data. The successful candidate will also discourage leaders' overconfidence by emphasizing a multitude of possible interpretations for every insight.
In order to be successful in this role you must exhibit the following:
Knowledge of:• Clinical analytics including quality management, health equity and social determinants of health, and clinical risk approaches and applications• Advanced analytics tools and languages to analyze large sets of data from multiple sources• Large health care database structures and data visualization techniques• Health plan structure and decision making processes
Skill In:• Effectively communicating and negotiating across the business and in the external health care environment to share insights and bring order to analytics solutions• Strong organizational, management, and leadership skills• Influencing key decision makers with insightful analytics to guide strategic decision making• Designing value-based purchasing models to drive clinical and quality improvement
Ability To:• Combine the story you think the data are telling you with business understanding and insights to develop actionable intelligence
Required Qualifications
10+ years of related experience
Microsoft SQL: 5+ years of recent experience
Statistical Modeling Software (SAS, R, Python): 5+ years of recent experience
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
Preferred Qualifications
Knowledge of:• The possible impact of managed care clinical intervention programs• The unique clinical needs of the Medicaid population• The impact of social determinants of health and health equity (or lack thereof) on member outcomes• Value-based purchasing to drive clinical and quality improvement
Skill in:• Population health management solution structure and development
Ability To:• Be a trusted consultant and data guide with senior leaders across the organization• Work with state Medicaid agencies to build positive relations and win or maintain business
Education
Masters required, Doctorate preferred
Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.