Informatics Manager – Quality HEDIS

CVS Health

. Ensure regulatory, audit, and compliance readiness for HEDIS and State reporting .

Posted 10/5/2026full-timeRemote • United StatesMid-LevelSenior💰 $54,300 - $145,860 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in regulatory compliance, data management, and analytics within healthcare quality management, with a strong focus on HEDIS and AI-enabled reporting. Proficient in SQL and Python, capable of translating complex data insights into actionable strategies.

Highest-signal resume keywords

SQLPythonBusiness Intelligence ReportingHealthcare Quality ManagementNCQA HEDIS

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data GovernanceData IntegrationData MigrationStatistical MethodsComputational Methods

Soft Skills

Problem SolvingDecision-MakingCollaborationGrowth MindsetExecution

Tools & Technologies

TableauPower BIAI-Enabled Reporting

Industry Keywords

Regulatory ReadinessAudit ComplianceData ManagementInformation SystemsQuality Metrics

Tech Stack

Tools & technologies

PythonSQLTableau

About the role

Key responsibilities & impact

Ensure regulatory, audit, and compliance readiness for HEDIS and State reporting
Advance governed AI-enabled change control aligned to NCQA, CMS, and state requirements
Assess informatics department requirements and identify integration opportunities for new technologies and system processes
Assist the informatics team in managing data, reporting, and analytics functions
Coach the informatics team on applying statistical and computational methods to research data
Conduct literature reviews on data management, information systems, machine learning, and artificial intelligence
Confer with industry partners on applying research findings to real-world settings
Design documentation systems outlining system specifications, architectural diagrams, and user guides
Define data models, data integration processes, and data governance policies
Develop complex data migration systems and coordinate with data management teams to ensure transfer accuracy
Establish testing systems to ensure requirements and functions are met

Requirements

What you’ll need

3+ years relevant work or equivalent experience
Adept at SQL and/or Python
Adept at Business Intelligence reporting (Tableau, Power BI, etc.)
Adept at problem solving and decision-making skills
Adept at collaboration and teamwork
Adept at growth mindset (agility and developing yourself and others) skills
Adept at execution and delivery (planning, delivering, and supporting) skills
Ability to translate non-analytical customer needs into analysis and reporting and communicate data insights
Experience working in Healthcare Quality Management
Experience with NCQA HEDIS and other quality metrics
Experience with AI-facilitated reporting with disciplined governance and oversight
Bachelor's degree or equivalent work experience

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program in addition to base pay