Published date Posted on Indeed on Dec 04, 2021 (50 d ago)
Fortune 4 CVS Health has an exciting opportunity for an Informatics Advisor to join our dynamic Risk Adjustment team! In this role, you will serve as lead subject matter expert on Medicaid Risk Adjustment methodology and risk scoring.

You will track and analyze risk adjustment model versions and weights by site. You will also validate member-level risk scores and provide analytics-driven guidance to actuarial for forecasting and rate setting.

You will be responsible for maintaining risk score model integrity across multiple states and communicate to business leaders the key drivers of results.

Join this exciting opportunity to work directly with different teams across the organization and have a meaningful impact on our business!

Successful candidates will possess the following abilities:
  • Design and code efficiently in SAS, SQL or similar programming language
  • Execute algorithms to solve business problems
  • Motivated and willing to probe into technical details
  • Problem solve
  • Build and improve processes
  • Juggle multiple priorities
  • Be organized and exhibit attention to detail

Required Qualifications
  • 5 or more years of data analytics experience
  • 3 or more years experience in technical programming fundamentals in either SQL, SAS, Excel or comparable software

COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.
  • If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
  • If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications
  • Knowledge of government-regulated healthcare programs such as Medicare or Medicaid
  • Knowledge of health insurance concepts
  • Experience working in risk adjustment
  • Experience working at a health plan

Education
Bachelor's Degree or equivalent work experience required.

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.


We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.


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