We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

The Senior Informatics Analyst leverages technology, advanced analytics, and healthcare domain expertise to improve outcomes across clinical, operational, and Medicare Advantage risk‑adjustment programs. The role encompasses designing and maintaining health information systems, conducting complex healthcare data analysis, and supporting decision‑making through data‑driven insights. This position applies deep understanding of healthcare informatics, risk adjustment methodologies, and data management to enhance accuracy, compliance, and performance within value‑based and risk‑bearing lines of business.

Advanced Analytics & Reporting

• Analyze and interpret complex clinical, claims, and risk‑adjustment datasets to support enterprise decision‑making and drive strategic initiatives.
• Perform advanced statistical analysis, data mining, and predictive modeling to produce actionable insights from large datasets.
• Identify trends, patterns, and correlations, including those related to Medicare Advantage risk‑adjusted performance, HCC prevalence, Chronic Condition recapture, and RAF scoring.
• Design and develop reports, dashboards, and visualizations using BI tools to communicate insights to stakeholders.

Data Management & Quality

• Ensure data integrity, quality, and consistency through effective data management strategies.
• Conduct encounter validation, coding quality checks, and analyses for risk‑adjustment completeness and data gaps.

Technical Development

• Analyze existing SAS scripts to understand business logic and convert or rewrite them into Python, R, or cloud‑native tools.
• Apply cloud‑based data engineering and analytics using platforms such as AWS or GCP.

Required Qualifications

• Minimum of 1 year of experience working with tools such as SAS, SQL, and scripting languages like Python or R, with a strong understanding of data manipulation and analysis techniques.
• Minimum of 1 year of experience working in a healthcare environment.
• Proven experience with cloud platforms such as AWS or GCP, including at least one year of hands-on experience deploying and managing data solutions.
• Working knowledge of problem solving and decision making skills

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.
• Advanced proficiency in Microsoft Excel (formulas, pivot tables, lookups) and comfort analyzing large datasets and performing data‑driven modeling to support reconciliations and performance reporting.

Education

• Bachelor's degree preferred/specialized training/relevant professional qualification.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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

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