CVS Health-posted about 1 year ago
$54,300 - $145,860/Yr
Full-time • Mid Level
Atlanta, GA
Health and Personal Care Retailers

The Senior Informatics Developer within the Revenue Integrity organization at CVS Health is responsible for leading technical activities related to Risk Adjustment, including data extraction, reconciliation, and reporting. This role involves guiding external vendors and team members, ensuring data integrity, and driving process improvements to enhance operational efficiency. The position requires a strong analytical background and the ability to communicate complex data insights effectively.

  • Lead Risk Adjustment technical activities including data extraction and reconciliation.
  • Provide guidance to external vendors and consultants to support ACA IFP Risk Adjustment initiatives.
  • Reconcile data from various sources and identify gaps in processes to improve efficiency.
  • Act as the business lead for system design and testing of new functions.
  • Support auditing activities related to vendor reconciliation and technical projects.
  • Drive enhancements and system fixes while understanding interdependencies in processes.
  • Coordinate across shared services and vendors to ensure data integrity and validation processes.
  • Conduct periodic updates of analytical routines and production systems.
  • Investigate and evaluate alternative solutions to meet business needs.
  • Support 1 million IFP members by managing vendor data quality and timeliness.
  • 3+ years of experience in reporting and data analytics/informatics in a healthcare or regulated environment.
  • 3+ years of experience with SAS/SAS EG/Python/SQL server for data analytics and manipulation.
  • 3+ years of experience with BI tools such as Tableau, Quicksight, and PowerBI.
  • Bachelor's degree in Mathematics, Economics, Statistics, Computer Science, Actuarial Science, Social Science, Healthcare or related discipline.
  • 5+ years of experience in reporting and data analytics/informatics in a healthcare or regulated environment.
  • Vendor management experience.
  • Experience with CMS Risk Adjustment programs.
  • 5+ years of experience in management consulting, project consulting, or risk management consulting.
  • Experience documenting business processes and implementing improvement strategies.
  • Experience with IT application development lifecycles.
  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan.
  • Employee Stock Purchase Plan.
  • Fully-paid term life insurance.
  • Short-term and long-term disability benefits.
  • Well-being programs and education assistance.
  • Free development courses.
  • CVS store discount and discount programs with partners.
  • Paid Time Off (PTO) and paid holidays.
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