Healthcare Medicaid Risk Adjustment Analytics, Senior Manager

CVS Health

Remote

Quick summary

Work type
Remote
Location
MAARIDTXGA
Salary
$67,900–$199,144 / yr
Posted
3 days ago
Closes
Jul 17, 2026

Market check

Salary context

Below market

How this pay compares to similar roles

Similar $177k
This role $134k
$50k most similar roles pay here $231k

This role pays less than 80% of similar roles. Most pay $142,300–$212,433 — the shaded band above. At the midpoint, this role pays about $134k versus about $177k for comparable roles.

Based on 240 similar postings.

Employer

About CVS Health

CVS Health is a leading American healthcare company operating retail pharmacies, pharmacy benefit management services, and a health insurance segment through Aetna, one of the nation''s largest health insurers. Industry: Healthcare & Pharmacy

CVS Health currently has 409 open roles on FindRole.

Listed pay typically runs $118,450–$284,280 across 135 roles with salary data.

Most-posted roles

View all roles at CVS Health

At a glance

TL;DR · Healthcare Medicaid Risk Adjustment Analytics, Senior Manager

CVS Health seeks a Senior Informatics Manager to lead its Risk Adjustment Analytics team in driving health plan performance through data-driven insights. This role involves managing a small team, designing advanced analytics, and interpreting large healthcare datasets to improve quality outcomes and financial performance. The position requires evaluating health plan performance using complex analyses of medical and pharmacy claims, encounter data, and more, translating findings into actionable strategies for decision-making. Key responsibilities include developing scalable reporting tools, supporting compliance with CMS and state Medicaid requirements, and implementing process improvements through automation. Ideal candidates have 8+ years of healthcare analytics experience, including leadership roles, expertise in GCP/Big Query, SQL, SAS, Python, and a strong track record of translating technical analyses into business insights for diverse stakeholders.

What you'll do

  • Lead and execute complex data analyses to drive health plan-level risk adjustment performance.
  • Design and deliver advanced analytics using medical, pharmacy claims, encounter, provider, and membership data.
  • Translate analytical findings into actionable insights for health plan strategies and decision-making.
  • Develop scalable reporting tools and dashboards to monitor performance and compliance.
  • Ensure data accuracy and integrity across all reporting and analytical outputs.
  • Identify process improvements through automation and advanced analytics techniques.

What we're looking for

  • At least 8 years of experience in healthcare analytics with claims and encounter data.
  • Minimum 2 years of leadership experience managing, coaching, or mentoring teams.
  • Expertise in Google Cloud Platform (GCP)/Big Query, SQL, SAS, Python, or similar tools.
  • Experience working with government-regulated healthcare programs like Medicaid and Medicare.
  • Ability to manage multiple projects and priorities in a fast-paced environment.
  • Strong skills in translating technical analyses into actionable business insights.
  • Excellent communication abilities for both technical and non-technical stakeholders.

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