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CVS Health Manager, Informatics in Woonsocket, Rhode Island

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.

Position Summary: Aetna Resources LLC, a CVS Health company, is hiring for the following role in Woonsocket, RI: Manager, Informatics to formulate and apply mathematical and optimizing methods to develop and interpret information. Duties include: collect and analyze data to support decision-making for risk evaluation and program implementation; track and analyze risk adjustment model versions and weights by site, validate member-level risk scores, and provide analytics-driven guidance to actuarial team for forecasting and rate setting; serve as lead subject matter expert on Medicaid Risk Adjustment methodology and risk scoring; maintain risk score model integrity across multiple states and communicate the key drivers of results to business leaders; build out the infrastructure required for extraction, transformation, and loading of financial data from various data sources; utilize SAS, SQL, R or similar programming languages to create complex algorithms, applications, and data visualizations; data analysis using complex SAS/SQL queries; perform statistical analysis (regression, standard deviation, mean, hypothesis testing) to generate ad-hoc reports and data-driven insights; create Gap Risk Score reports using MS Excel functionalities such as macros, charts, graphs, and functions; and work directly with different teams across the organization to build and improve processes that have a meaningful business impact. Telecommuting available. Multiple positions.

  • Requirements: Master’s degree (or foreign equivalent) in Informatics, Operations Research, Statistics, Management Information Systems, Computer Science, Data Science, Mathematics, Analytics, or a related field and two (2) years of experience in the job offered or related occupation. Requires two (2) years of experience in each of the following: Data analysis for healthcare industry, products, or systems; SAS or SQL programming languages; Creating reports, formulas and pivot tables in Excel; Writing clean, high quality, high performing, scalable code; and Testing, quality assurance, and troubleshooting.

Pay Range: $96000.00/year to $130000.00/year.

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. This position also includes an award target in the company’s equity award program. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully paid term life insurance plan to eligible employees, and short-term and long-term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time, and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits (https://url.usb.m.mimecastprotect.com/s/f4sJCGwN7ohAZQEyzwkf0pj8D?domain=jobs.cvshealth.com)

This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.

We are an equal opportunity and affirmative action employer. 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.