Informatics Manager - Quality - HEDIS

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.

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.

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.

Bachelor's degree or equivalent work experience