CVS Health
Lead Director, Risk Adjustment Performance Reporting and Insights
$100K–$232K
Work At Home-Texas +48 · Remote · Director · Full-time · Posted Oct 13, 2026
- Location
- Work At Home-Texas
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Work At Home-Delaware - Experience
- 10+ years in a listed healthcare analytics-related field; 2+ years managing analytics, reporting, or business intelligence.
- Education
- Bachelor’s degree or equivalent professional work experience. A relevant master’s degree or equivalent combination of advanced education, professional certification, or demonstrated subject matter expertise is preferred.
About the job
Leads enterprise risk adjustment analytics and reporting, turning healthcare data into insights that guide provider performance, program improvement, and executive decisions.
What you'll do
- Oversee risk adjustment KPI reporting, performance analysis, benchmarking, and executive recommendations.
- Develop provider performance analytics and support data-driven improvement initiatives.
- Modernize analytics and reporting with AI, automation, advanced analytics, and business intelligence while leading the team and stakeholder partnerships.
What they ask for
- 10+ years of healthcare analytics, informatics, performance insights, actuarial, value-based, or business intelligence experience.
- 2+ years of leadership experience managing analytics, reporting, or business intelligence.
- Advanced experience with programming languages such as SQL and Python, and BI platforms such as Power BI, Tableau, and QuickSight.
- Ability to lead complex analytics portfolios, set priorities, and maintain organization in developer code and processes.
Nice to have
- Knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements.
- Experience at a health plan or provider system.
Pay
$100,000.00 - $231,540.00 USD (base salary)
Tools
SQL, Python, Power BI, Tableau, QuickSight
AI focus
Lead adoption of AI, advanced analytics, and automation; advance reporting strategy and encourage incorporating AI and advanced technology into everyday work.
Model-written summary · the original posting is authoritative