Job Description:
• Ensure regulatory, audit, and compliance readiness for HEDIS and State reporting
• Advance governed AI-enabled change control aligned to NCQA, CMS, and state requirements
• Assess informatics department requirements and identify integration opportunities for new technologies and system processes
• Assist the informatics team in managing data, reporting, and analytics functions
• Coach the informatics team on statistical and computational methods for analyzing research data
• Conduct literature reviews on data management, information systems, machine learning, and artificial intelligence
• Confer with industry partners to apply research findings to real-world settings
• Design documentation systems outlining system specifications, architectural diagrams, and user guides
• Define data models, data integration processes, and data governance policies
• Develop complex data migration systems and coordinate with data management teams to ensure information-transfer accuracy
• Establish testing systems to ensure requirements and functions are met
Requirements:
• 3+ years relevant work or equivalent experience
• Adept at SQL and/or Python
• Adept at Business Intelligence reporting (Tableau, Power BI, etc.)
• Adept at problem solving and decision-making skills
• Adept at collaboration and teamwork
• Adept at growth mindset, agility, and developing yourself and others
• Adept at execution and delivery, including planning, delivering, and supporting
• Ability to translate non-analytical customer needs into analysis and reporting and communicate data insights
• Preferred experience working in Healthcare Quality Management
• Preferred experience with NCQA HEDIS and other quality metrics
• Preferred experience with AI-facilitated reporting with disciplined governance and oversight
• Bachelor's degree or equivalent work experience
Benefits:
• CVS Health bonus, commission or short-term incentive program in addition to base pay
• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources supporting physical, emotional, and financial well-being, based on eligibility
• Comprehensive benefits package for full-time colleagues and their families