CVS Health · 2 weeks ago
Lead Director- Informatics Reporting
United States
Full-time
Remote
Director/Executive
$100K/yr - $232K/yr
10+ years expCVS Health is dedicated to improving health care experiences for individuals and communities. The Lead Director - Informatics Reporting is responsible for defining and executing the data and reporting strategy for the Grievances & Appeals organization, managing reporting processes, leading analytics teams, and ensuring compliance with healthcare regulations.
HealthcarePharmaceuticalRetailHealth CareMedicalSales
Responsibilities
Manages and optimizes Informatics reporting processes, systems, and strategies to provide accurate and timely information to key stakeholders
Provides strategic leadership in the development and execution of reporting strategies aligned with the organization's goals
Oversees the selection, implementation, and maintenance of reporting systems, schedules, and infrastructure
Evaluates and recommends appropriate reporting tools, databases, and platforms to support efficient and accurate reporting processes
Collaborates with stakeholders to identify reporting needs and requirements, design and create meaningful visualizations, and ensure data accuracy and consistency
Establishes and enforces reporting governance frameworks, policies, and procedures by ensuring compliance with relevant regulations, such as data privacy, security, and industry standards
Identifies opportunities to enhance reporting efficiency, accuracy, and usability through automation, data visualization, and self-service reporting capabilities
Establishes performance metrics and reporting mechanisms to assess the effectiveness of reporting initiatives
Act as a bridge between IT delivery, enterprise analytics, and clinical/Operational leadership to ensure risk management and regulatory compliance needs
Leads teams of data analysts and specialists to analyze core G&A data and generate actionable insights
Enables visibility into: Appeals turnaround time, Overturn reduction drivers, Grievance trends, Root cause analysis, Regulatory performance metrics, Productivity Metrics
Drives proactive insights for operational improvement and compliance readiness
Ensures adherence to healthcare regulations and audit requirements specific to grievances and appeals
Maintains high standards of data integrity, traceability, and auditability
Aligns reporting practices with enterprise data governance standards
Builds in-house informatics and analytics capabilities to reduce reliance on external teams
Establishes scalable operating models, reusable data assets, and self-service solutions
Drives continuous improvement through automation and standardization
Creates robust job functions and role clarity within the informatics team
Leads, mentors, and develops talent across analytics, reporting, and domain expertise
Promotes a growth mindset, agility, and continuous learning culture
Applies deep expertise in: Healthcare claims, grievances, authorization and appeals processes, Appeals lifecycle management and compliance tracking
Ensures data and reporting enable regulatory compliance, audit readiness, and operational excellence
Qualification
Required
10+ years of experience in informatics, analytics, or business intelligence
Strong healthcare domain experience, preferably in: Claims, grievances, authorization and appeals
Demonstrated leadership in data strategy, reporting, and team development
Preferred
Experience in Aetna EDP platform
Experience in GCP (Big Query, Looker, Cloud)
Experience in implementing AI technologies into existing reporting processes
Experience Coginiti, Dataiku, Tableau, PBI, SAP reporting tools, Quick Base
Familiarity with Agile SDLC
Proficient in Office tools (Power point/Excel/word) and Share point
Experience engaging with executive leadership
Experience in identifying and implementing process improvements
Experience leading analytics team and translating their requirements into clear, actionable solutions
Benefits
Eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above
Includes an award target in the company’s equity award program
Comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families
Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources, based 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
100%
Represents job field similar to this job
Engineering and Development
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
Erin Condon
SVP, Chief Marketing Officer, CVS Pharmacy
Recent News
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