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.
Job Description
A Brief Overview
We are seeking a highly skilled and motivated Senior Analyst, Informatics to join our expanding Medicare risk adjustment analytics team. In this role, you will play a crucial role in building and evaluating various Medicare compliance programs. The primary responsibilities will include leading the reconciliation of data from various sources, identifying gaps in existing processes, and implementing efficient evaluation strategies for the Medicare programs. Additionally, you will be responsible for facilitating PMPM impact evaluation and collaborating with the pricing team to set goals for 2026. As part of your role, you will also utilize cloud platforms such as AWS/GCP to provide ad hoc reporting and valuable insights to the leadership team. This is an exciting opportunity to contribute to the growth and success of our organization while utilizing your expertise in informatics and data analysis.
What you will do
- Analyzes and interprets complex data to support decision-making processes and inform strategic initiatives within the organization.
- Performs advanced data analysis using statistical methods, data mining techniques, and predictive modeling to extract meaningful insights from large and complex datasets.
- Identifies trends, patterns, and correlations to support decision-making processes.
- Designs and develops reports, dashboards, and visualizations to effectively communicate data-driven insights to stakeholders using tools such as business intelligence software or data visualization platforms to create compelling visual representations of data.
- Ensures data integrity, quality, and consistency by implementing data management strategies and protocols.
- Collaborates with stakeholders across departments, including clinicians, researchers, administrators, and executives, to understand their information needs and provide analytical support.
- Participates in research projects and evaluation studies related to informatics initiatives in order to assist with industry studies and advances.
- Contributes to the design, data collection, analysis, and reporting phases of research projects to generate evidence-based insights.
- Contributes to the improvement of informatics processes, methodologies, and analytical techniques within the organization.
Required Qualifications
Preferred Qualifications
- Prior experience in healthcare analytics, risk adjustment, HEDIS, claims/EHR and other care management data.
- Experience with data visualization tools such as Tableau or Power BI, including the ability to create interactive dashboards and reports to effectively communicate insights.
- Experience working in Databricks and ML.
- Proficiency in building end to end ETL process and migrating code using Pyspark/Pandas.
Education
- Bachelor's degree or equivalent work experience. Masters degree preferred.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$46,988.00 - $112,200.00
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: 01/27/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
