Data Analytics Manager
At a glance
Manager-level Data Analysis & BI role at Cvshealth. Hartford-Farmington Ave Atrium · full-time · $66,330–$145,860 base.
dataroles summary, based on the employer's posting.
What you'll do
- Lead projects that connect healthcare data operations, compliance, data quality and analytics
- Oversee risk adjustment work involving encounter validation, HCC analysis, provider coding accuracy and CMS reports
- Support EDS submissions, MAO-004 files, ACA analysis and regulatory reporting
- Use healthcare data governance and analytics to improve operations and inform decisions
What you bring
- At least seven years of experience in the healthcare industry
- Five or more years working in Medicare risk adjustment, EDS, MAO-004 or ACA analytics
- Experience leading healthcare data projects, with knowledge of CMS rules, HCC models and regulatory reporting
- A bachelor’s degree or relevant work experience
Who this fits
This manager role suits an experienced healthcare analytics professional who can lead data initiatives and work across risk adjustment, compliance and reporting. The role is hybrid in Hartford, and the position is full time.
From the employer
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
The Medicare Risk Adjustment team is focused on Encounter Data Systems (EDS), MAO-004 submissions, ACA analytics, and regulatory reporting.
Responsibilities:
Proven success leading cross-functional projects in large-scale healthcare data operations, compliance, data quality, and analytics initiatives.
Expert in end-to-end Risk Adjustment processes, encounter data validation, HCC analytics, provider coding accuracy, CMS reporting, and healthcare data governance. Strong blend of technical expertise and leadership skills with experience driving operational excellence, regulatory compliance, and data-driven decision making.
Required Qualifications
- Experienced healthcare analytics professional with 7+ years of healthcare industry experience.
- 5+ years of Medicare Risk Adjustment, EDS, MAO-004, or ACA analytics experience.
- Experience leading projects and healthcare data initiatives.
- Strong knowledge of CMS regulations, HCC models, and regulatory reporting.
Preferred Qualifications
- Experience with SQL, SAS, Databricks, Cloud platforms (GCP/Azure/AWS), and Power BI.
- Background in healthcare claims, encounter data, and provider analytics.
- Experience with data governance, automation, and process improvement.
- Master's degree a plus.
Education: Bachelor's degree or rel. work experience.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$66,330.00 - $145,860.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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