Manager Informatics - HEDIS Data Strategy

Job DescriptionThis position will be focused on National Quality Management HEDIS Data Strategy and is responsible for in-depth data analytics and reporting in support of various HEDIS data improvement initiatives and projects. This position is expected to:- Perform research and analysis of HEDIS-related data in a relational database environment, including writing queries to identify trends, draw conclusions, make recommendations and validate results. - Perform extensive data validation and testing in a complex environment that utilizes multiple databases.- Summarize information from large data sets using data visualization tools. - Evaluate the data and analytic needs of assigned projects and assure the integrity of the data. - Define and deliver analytical solutions in support of the supplemental data processes. - Collaborate with internal and external partners and organizations to provide analytics that answer business questions. - Design and conduct analyses and outcome studies regarding the impact of various initiatives and projects.Required Qualifications- 2+ years of experience in healthcare related to HEDIS and Stars including full understanding of technical specifications, NCQA and CMS requirements.- 3+ years intermediate/advanced experience with analytic programming tools and methods (ex: SQL, Base SAS, Python, and/or R).- Experience in working in a healthcare data warehouse environment as well as the ability to work with large data sets from multiple data sources.- Experience with data validation and testing and testing in complex environment and utilizes multiple databases. - Ability to communicate statistical and technical ideas and results to non-technical clients in written and verbal form.- Strong collaboration and communication skills within and across teams at all levels of the organization as well as external partners.- Strong problem solving skills and critical thinking ability.- Successfully navigate and manage simultaneously competing priorities to meet business needs and deliverables.- Ability to build trust and respect of internal and external key stakeholders.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications-Masters Level - High level of technical understanding and business acumenEducation- Bachelor's or equivalent experienceBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-11-15