Informatics Manager, Risk Adjustment Analytics

Company: Hispanic Alliance for Career Enhancement
Location: San Jose
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 will involve extracting, collecting, analyzing, and interpreting health, utilization, and financial data from many sources to address business questions regarding population health management, health and economic outcomes, and other business needs.

You will be responsible for maintaining risk score model integrity across multiple states and communicate to business leaders the key drivers of results.

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 language
- Execute algorithms to solve business problems

- Willing to probe into technical details, and problem solve
- Build and improve processes
- Juggle multiple priorities
- 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 in 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 working independently
- Project management experience

Education

Bachelor's Degree or equivalent work experience required

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $159,120.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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.
  
  For more information, visit https://jobs.cvshealth.com/us/en/benefits
  
  We anticipate the application window for this opening will close on: 05/25/2025
  
  Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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Keywords: Hispanic Alliance for Career Enhancement, Brentwood , Informatics Manager, Risk Adjustment Analytics, Executive , San Jose, California