CVS Health · 1 day ago
Manager, Informatics
United States
Full-time
Remote
Mid Level
$66K/yr - $146K/yr
3+ years expCVS Health is building a world of health around every individual, seeking to simplify health care. The Informatics Manager will design and execute operational analysis on medical claims, providing insights and support to various stakeholders.
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Responsibilities
The Informatics Manager designs and executes claim operational analysis, creating insight into the Medical and Dental claim operational environments for Aetna actuaries, Service Operations Leadership, Compliance, Market leads and production teams
The Consultant evaluates the operational and financial flow of claims throughout the claim lifecycle, across multiple claim systems, and includes both a) monitoring normal flow and b) identifying and quantifying topics of concern
The position also builds information resources to support tactical operational needs, fulfills requests for operational data, and performs a variety of analysis to support Service Operations' needs
Qualification
Required
3+ years' experience using SAS, BigQuery, SQL, Python, or similar query language, to extract, transform, process, and summarize large datasets
2+ years performing large scale analysis on medical claim operational (i.e., non-clinical) data. Examples such as auto-adjudication rates, turnaround times, payment patterns, inventory composition, denial rates, etc
Demonstrated business knowledge of the medical claim lifecycle (Claim Intake, Adjudication, Editing, Pend/Inventory management, Payment, Appeals, Rework)
Demonstrated ability to manage multiple projects simultaneously
Experience performing data 'quality and reasonableness' testing on claim operational data
Strong Excel skills, including mastery of logical & text functions, pivot tables
Experience applying logic and critical thinking to solve business problems involving operational data
Experience turning data into information
Excellent written communication skills
Benefits
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
H1B Sponsorship
CVS Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
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