Manager, Informatics

Job DescriptionAetna Resources LLC, a CVS Health company, is hiring for the following role in Woonsocket, RI: Manager, Informatics to formulate and apply mathematical and optimizing methods to develop and interpret information. Duties include: collect and analyze data to support decision-making for risk evaluation and program implementation; track and analyze risk adjustment model versions and weights by site, validate member-level risk scores, and provide analytics-driven guidance to actuarial team for forecasting and rate setting; serve as lead subject matter expert on Medicaid Risk Adjustment methodology and risk scoring; maintain risk score model integrity across multiple states and communicate the key drivers of results to business leaders; build out the infrastructure required for extraction, transformation, and loading of financial data from various data sources; utilize SAS, SQL, R or similar programming languages to create complex algorithms, applications, and data visualizations; data analysis using complex SAS/SQL queries; perform statistical analysis (regression, standard deviation, mean, hypothesis testing) to generate ad-hoc reports and data-driven insights; create Gap Risk Score reports using MS Excel functionalities such as macros, charts, graphs, and functions; and work directly with different teams across the organization to build and improve processes that have a meaningful business impact. Telecommuting available.Required QualificationsRequires a Master's degree (or foreign equivalent) in Informatics, Operations Research, Statistics, Information Systems, Information Technology, or a related field and three (3) years of experience in each of the following: Data analysis for health care industry, products, or systems; Programming in SAS, SQL, or Excel; Writing clean, high quality, high performing, scalable code; and Testing, quality assurance, and troubleshooting.Alternate requirements: Bachelor's degree (or foreign equivalent) in Informatics, Operations Research, Statistics, Information Systems, Information Technology, or a related field and five (5) years of progressive, post-baccalaureate experience in each of the following: Data analysis for health care industry, products, or systems; Programming in SAS, SQL, or Excel; Writing clean, high quality, high performing, scalable code; and Testing, quality assurance, and troubleshooting.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 QualificationsSee Required Qualifications.EducationSee Required Qualifications.Business OverviewBring your heart to CVS Health Every 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. 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: 2026-04-04