Quality HEDIS Informatics Manager

CVS Health

17h

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. 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 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.

Requirements

• 5+ years relevant work experience
• Adept programming in SQL, Python
• 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

Nice To Haves

• Experience working within Healthcare Quality Management
• Experience with NCQA HEDIS and other quality metrics
• Outcomes research experience

Responsibilities

• 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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees