Informatics Advisor

Job DescriptionFortune 4 CVS Health is hiring for 2 Informatics Advisor to join the Risk Adjustment informatics team. The Risk Adjustment Informatics team is the analytical engine supporting all risk adjustment activities. You will act as the lead subject matter expert on Medicare Risk Adjustment methodology and working with at-risk provider groups to enhance risk adjustment performance.You will be part of the team to create a best-in-class at-risk provider enablement operating model to drive HMO and DSNP product growth and performance of Provider Collaboration arrangements. You will develop BI tools to package financial and analytical data to support at-risk provider reporting, RAF improvement opportunities and overall performance management. You will create efficient processes to deliver accurate and timely analytical reports to drive provider education on coding accuracy.Join this exciting opportunity to work directly with different teams across the organization and have a meaningful impact on our businessThis role is open to Fully Remote Location.Key components of this position include: Proactively lead assigned projects by creating project timelines, identifying key milestones and issues that may stall assigned projects and working with manager to address them. You should have demonstrated skills in documenting detailed requirements, data gathering, interpretation, analysis and presentation. Expertise in PC SAS/SAS EG, Access and Excel is required. Knowledge of Power BI, Tableau development is a plus. Good understanding of the Medicare Risk Adjustment methodology, revenue cycle, and Value Based Care. The candidate should have a strong passion for data integrity with an eye for detail, but also be in tune with the big picture. This individual should understand their audience and associated work processes to be able to effectively turn business requirements into meaningful information. Expectations are that this individual will have solid verbal and written communication skills to facilitate independent follow through on process questions and problem resolution. Strong collaboration skills with the ability to work effectively with all levels of management.Required Qualifications5 or more years of work and/or internship experience2 or more years of experience using SQL, SAS, and/or ExcelCOVID 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-Knowledge of government - regulated healthcare program such as Medicare or Medicaid-Experience in healthcare industry-Experience in data analytics and working with large data- Masters or other advanced degree preferredEducationBachelor's degree or equivalent work experienceBusiness OverviewAt CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Created: 2025-11-01