Manager, Clinical Informatics and Interoperability

CVS Health • Island, KY

6d

About The Position

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. Join our Clinical Informatics and Interoperability team and help shape how critical clinical data flows across the healthcare ecosystem. In this role, you will lead key clinical data initiatives that support best-in-class, connected care experiences for patients and providers. You will be responsible for the end-to-end execution of clinical integrations with strategic provider organizations, Health Information Exchanges (HIEs), and other external partners. As a Manager, you will provide leadership and direction, define scope, identify scalable solutions, manage vendor relationships, and oversee delivery to ensure successful implementations for health system connectivity. You will partner closely with teams across the enterprise to align work, remove barriers, and deliver results. What you’ll doLead clinical data solutions and integrations Collaborate with business stakeholders to shape a clear product vision, define business value, and translate use cases into robust clinical data solutions. Explore strategic options for obtaining external clinical data that best meet business needs. Review vendor capabilities and features to identify opportunities to leverage within our ecosystem. Initiate and lead projects for clinical data exchange between the CVS Health Clinical Data Repository and external provider organizations, HIEs, and third-party vendors. Lead initiatives enabling bi-directional clinical data exchange between HIEs and our Epic platform. Drive cross-functional delivery Coordinate work across diverse departments, ensuring all team contributions are aligned and integrated into overall delivery. Partner with internal Product Managers and Product Owners in a SAFe Agile environment to deliver clinical solutions. Align project deliverables with strategic roadmaps and detailed project plans, and succinctly communicate progress, risks, and issues to senior leadership. Build and maintain strong relationships with vendors and external data partners. Serve as a subject matter expert and trusted partner Become a Subject Matter Expert (SME) in clinical data exchange and interoperability to support initiatives across CVS Health and Aetna. Work closely with Legal and Compliance partners to support contract execution and adherence to clinical data and PHI policies. Communicate complex technical topics in a clear, approachable way to both technical and non-technical audiences. Own project execution and risk management Create, manage, and deliver key project artifacts (roadmaps, status reports, requirements documentation, test plans, etc.). Identify and mitigate project risks and facilitate resolution of issues using your analytical, technical, and leadership skills. Ensure timely and high-quality delivery through strong attention to detail, organization, and follow-through.

Requirements

• 5+ years of professional experience in a clinical data exchange, healthcare IT, or closely related role.
• 3+ years of Epic EHR experience.
• Current Epic Care Everywhere certification.
• Working with EHR applications and/or clinical data sets.
• Leading projects end-to-end and coordinating activities across multiple teams.
• Partnering with Legal and Compliance on contracts and clinical data policies.
• Quickly learning new domains and underlying data sources.
• Translating business needs into clear requirements and tangible deliverables.
• Creating and managing project documents (roadmaps, status, requirements, test plans).
• Working across the full project lifecycle (discovery through deployment) in an Agile SAFe environment.
• Operating as a business analyst, product manager, technical/applications specialist, project specialist, or similar.
• Identifying, assessing, and resolving complex issues while driving risk mitigation.
• Clinical interoperability and/or external clinical data exchange.
• Clinical interface standards such as HL7, CCD/CCDA, HISP, Direct Messaging, and/or FHIR APIs.
• Regulations and standards related to PHI management.
• Strong written and verbal communication skills, including managing timelines and deliverables with project teams.
• High attention to detail and strong organizational skills.
• Comfort presenting updates and solutions to senior leadership and acting as a thought partner.

Nice To Haves

• Experience with healthcare/clinical data and multiple EHR platforms (e.g., Epic, Cerner, athenahealth, eClinicalWorks, NextGen).
• Knowledge of clinical integration standards such as FHIR APIs, HL7, USCDI.
• Experience with clinical interoperability concepts.
• Demonstrated business acumen and solution-based thinking.
• Strong critical thinking skills and the ability to ask probing questions and make balanced decisions.
• Excellent communication skills for technical and non-technical audiences at all levels.
• Demonstrated success working in cross-functional, collaborative teams.
• SAFe Agile certification.
• Proficiency with Microsoft Office tools (Outlook, Word, Excel, Visio, PowerPoint, Teams).

Responsibilities

• Lead clinical data solutions and integrations
• Collaborate with business stakeholders to shape a clear product vision, define business value, and translate use cases into robust clinical data solutions.
• Explore strategic options for obtaining external clinical data that best meet business needs.
• Review vendor capabilities and features to identify opportunities to leverage within our ecosystem.
• Initiate and lead projects for clinical data exchange between the CVS Health Clinical Data Repository and external provider organizations, HIEs, and third-party vendors.
• Lead initiatives enabling bi-directional clinical data exchange between HIEs and our Epic platform.
• Drive cross-functional delivery
• Coordinate work across diverse departments, ensuring all team contributions are aligned and integrated into overall delivery.
• Partner with internal Product Managers and Product Owners in a SAFe Agile environment to deliver clinical solutions.
• Align project deliverables with strategic roadmaps and detailed project plans, and succinctly communicate progress, risks, and issues to senior leadership.
• Build and maintain strong relationships with vendors and external data partners.
• Serve as a subject matter expert and trusted partner
• Become a Subject Matter Expert (SME) in clinical data exchange and interoperability to support initiatives across CVS Health and Aetna.
• Work closely with Legal and Compliance partners to support contract execution and adherence to clinical data and PHI policies.
• Communicate complex technical topics in a clear, approachable way to both technical and non-technical audiences.
• Own project execution and risk management
• Create, manage, and deliver key project artifacts (roadmaps, status reports, requirements documentation, test plans, etc.).
• Identify and mitigate project risks and facilitate resolution of issues using your analytical, technical, and leadership skills.
• Ensure timely and high-quality delivery through strong attention to detail, organization, and follow-through.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level