Informatics Manager, Risk Adjustment Analytics

Company: Hispanic Alliance for Career Enhancement
Location: Columbus
Posted on: May 27, 2025

Job Description:

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels, and more than 300,000 purpose-driven colleagues-caring for people where, when, and how they choose in a way that is uniquely more connected, more convenient, and more compassionate. And we do it all with heart, each and every day.
CVS Health has an exciting opportunity for an Informatics Manager to join our dynamic Risk Adjustment Analytics team. In this role, you will support data analysis, predictive modeling, and evaluation reporting within our Medicaid lines of business.
The position involves extracting, collecting, analyzing, and interpreting health, utilization, and financial data from various sources to address business questions related to population health management, health and economic outcomes, and other needs.
You will be responsible for maintaining risk score model integrity across multiple states and communicating key drivers of results to business leaders.
Join this exciting opportunity to work directly with different teams across the organization and have a meaningful impact on our business!
Successful candidates will possess the following abilities:

• Design and code efficiently in SQL, SAS, or similar programming languages.
  
• Execute algorithms to solve business problems.
  
• Probe into technical details and problem solve.
  
• Build and improve processes.
  
• Manage multiple priorities effectively.
  
• Be organized and exhibit attention to detail.
  
  Required Qualifications
  
  
• 5 or more years of data analytics experience.
  
• 3 or more years of experience in technical programming fundamentals in SQL, SAS, or other data management software.
  
• 3 or more years of experience creating reports and pivot tables in Excel.
  
  Preferred Qualifications
  
  
• Knowledge of government-regulated healthcare programs such as Medicare or Medicaid.
  
• Knowledge of health insurance concepts.
  
• Experience working in risk adjustment.
  
• Experience working at a health plan.
  
• Attention to detail and ability to work independently.
  
• Project management experience.
  
  Education
  Bachelor's Degree or equivalent work experience required.
  Additional Details
  

• 
  
• Anticipated Weekly Hours: 40
  
• Time Type: Full time
  
• Pay Range: $54,300.00 - $159,120.00
  
  This pay range represents the base hourly rate or annual salary for positions in this job grade. The actual offer depends on experience, education, location, and other factors. The role is eligible for bonuses, commissions, or incentives.
  Our people fuel our future. We are committed to fostering a workplace where every colleague feels valued and belongs.
  Benefits
  We offer comprehensive pay and benefits, including:
  
  • 
    
  • Affordable medical plans, 401(k) with matching, and employee stock purchase plans.
    
  • No-cost wellness programs, tobacco cessation, weight management, counseling, and financial coaching.
    
  • Flexible work schedules, paid time off, family leave, dependent care, tuition assistance, retiree medical, and more.
    
    For more information, visit .
    Application window closes on: 05/25/2025.
    Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.
    #J-18808-Ljbffr

Keywords: Hispanic Alliance for Career Enhancement, Springfield , Informatics Manager, Risk Adjustment Analytics, Executive , Columbus, Ohio