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.

Position Summary

The Informatics Manager (IC) will serve a key role within the Data Exchange team within AIS and will lead all business activities associated with external data acquisition and integration. This activity involves acquiring and integrating external healthcare data on behalf of Aetna HCB customers into the Aetna Data Warehouse where the data is then consumed by multiple areas around the enterprise for many different programs. Day to Day activities include client consultation, project management, ongoing customer retention/maintenance, revenue management, troubleshooting/research/data analysis, data trending/presentation and participation as needed in enterprise level projects including Data Transparency, Clinical Interoperability and more.

Responsibilities:

• Defines and delivers analytical solutions in support of healthcare business initiatives that drive short and long term objectives.

• Collaborates with internal and external partners and organizations in the design and execution of data integration solutions and analytics to answer business and research questions.

• Designs and conducts analyses and outcome studies using healthcare claims, pharmacy and lab data, employing appropriate research designs and statistical methods.

• Develops, validates and executes algorithms, statistical models and reporting tools that answer applied research and business questions for internal and external clients.

• Develops and participates in presentations and consultations to existing and prospective constituents on information services, capabilities and performance results.

• Turns analysis into business/customer solutions.

• Creates business applications to deliver clinical or analytic solutions to constituents.

• Develops project plans, research study designs and timelines.

• Manages personal resources and cross-functional projects and customer expectations to achieve constituent satisfaction.

• Responsible for project commitments to quality and on-time deliverables.

• Ability to manage conflicting priorities and multiple projects concurrently.

• Willingness to understand and probe into technical details.

• Contributes to a motivated work environment by working effectively to achieve common goals.

• Works independently and as part of a larger team to plan and conduct sophisticated analyses.

• Assists in team leadership and mentoring and may perform management functions in the absence of the Informatics Director.

Required Qualifications

• 5+ years of experience in reporting and analytical and data visualization in Excel, Tableau, Alteryx, Power BI, etc.

• 5+ years working in a customer facing role providing consultative support

• 5+ years working with healthcare data including claims, pharmacy, provider, membership, lab/test results, biometrics, supplemental data, etc.

• 5+ years of experience in data querying as it relates to root cause analysis

Preferred Qualifications

• Strong leadership experience, collaboration skills with the ability to work effectively with all levels of management and staff.

• Able to effectively collaborate with employees from many different backgrounds and disciplines.

• Experience supporting multiple types of customers with a particular emphasis on provider groups and hospitals.

• Familiarity with provider EMR systems, health information exchanges, and industry standard coding.

• Experience supporting industry standard national quality measure programs such as HEDIS and Medicare Stars as well as familiarity with common industry standard medical management programs (disease management, case management, patient safety, etc).

• Familiarity with healthcare interoperability and data transmission formats (i.e- HL7, FHIR, CCDA, 837, etc)

• Ability to interface/liaison between business users/consumers and technical data engineering teams.

• Strong problem solving skills and critical thinking ability.

• Understanding of relational databases such as Hadoop, Netezza, DB2, Google Cloud Platform, etc.

• Ability to query data to perform root cause analysis.

• Experience working in a ticketing/project management system such as JIRA or Quickbase.

• Experience acquiring data from outside sources through SFTP or comparable data transmission methods.

Education
Bachelor’s degree, or equivalent experience (HS diploma + 4 years relevant experience)

Business Overview
Bring 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.
 

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $119,340.00

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: 04/03/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.