Senior Informatics Analyst

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 r...