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. Bring your heart to CVS Health At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As a Lead Director of Quality Management, you will provide strategic leadership, oversight, and execution of quality improvement, regulatory quality programs, provider performance initiatives, accreditation activities, and population health strategies that support Kentucky Medicaid members and providers. This role serves as the market quality leader and is responsible for driving measurable improvements in quality outcomes, member experience, health equity, provider engagement, and regulatory performance while aligning market activities with enterprise Medicaid quality objectives. Primary Responsibilities Lead development and execution of the Kentucky Medicaid Quality Strategy. Direct quality improvement initiatives focused on regulatory, contractual, and enterprise quality objectives. Drive performance improvement efforts for HEDIS®, QRS, state quality metrics, value-based incentives, and market-specific performance goals. Provide leadership and oversight for Quality Assessment and Performance Improvement (QAPI) activities. Oversee regulatory quality reporting, state deliverables, and Performance Improvement Projects (PIPs). Ens
Manager - HEDIS Informatics and Business Intelligence
Market pay estimate
$146,669–$254,745 / year for comparable Manager roles in United States. Not employer-provided.
Role overview
Job description
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.
Position Summary
Leverages technology and data to improve healthcare outcomes by designing, implementing, and maintaining health information systems, analyzing healthcare data, and utilizing technology to support clinical workflows and decision-making. Applies expertise in healthcare and information technology to ensure efficient data management, promote data-driven insights, and enhance the delivery of healthcare services.
What you will do
- Assesses the requirements of the department and identifies integration opportunities for new technologies and system processes.
- Assists the team in the management of the data, reporting, and analytics function to help internal teams draw meaningful conclusions.
- Coaches the team on how to apply statistical and computational methods to analyze research data.
- Conducts thorough literature reviews to understand the current state of knowledge data management, information systems, machine learning, and artificial intelligence.
- Confers with industry partners on ways to apply research findings to real-world settings to advance industry knowledge.
- Designs a documentation system for the system to outline system specifications, architectural diagrams, and user guides.
- Determines best approaches to define data models, data integration processes, and data governance policies for the department.
- Develop complex data migration systems to coordinate with data management teams to ensure accuracy in transferring information into new systems.
- Establish a testing system for the department to ensure defined requirements and functions are met.
Required Qualifications
- 3+ years relevant work or equivalent experience
- Adept at SQL and/or Python
- Adept at Business Intelligence reporting (Tableau, Power BI, etc.)
- Adept at problem solving and decision-making skills
- Adept at collaboration and teamwork
- Adept at growth mindset (agility and developing yourself and others) skills
- Adept at execution and delivery (planning, delivering, and supporting) skills
- Ability to translate non-analytical customer needs into analysis and reporting and communicate data insights
Preferred Qualifications
- Experience working within Healthcare Quality Management
- Experience with NCQA HEDIS and other quality metrics
- Outcomes research experience
Education
- Bachelor's degree in Statistics, Mathematics, Data Analytics, or related STEM field. Master’s degree preferred.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$60,300.00 - $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.
About this listing
- Listed from Cvshealth's careers site via Workday · last confirmed on the source 17 Oct 2026
- Posted 15 Oct 2026
Jobiba does not charge job seekers. Never pay to apply or share OTPs, card or bank details.
Role market pulse
How Manager demand looks in United States
Live jobs
41
Posted 30d
14
30d movement
+40%
Remote share
34.1%
Salary listed
80.5%
Salary trend 1Y
Not enough history
What they are looking for
Skills & requirements
Qualification
Bachelor's degree in Statistics, Mathematics, Data Analytics, or related STEM field. Master’s degree preferred
Hiring company
Cvshealth
America's leading health solutions company, CVS Health® provides advanced health care from pharmacy services and health plans to health and wellness.
Related opportunities
Similar active roles
Relevant, currently active roles for this market.
$280K – $300K/yr
$200K – $270K/yr
$195K – $298K/yr
$180K – $247K/yr
🔔 Get job alerts
New Manager - HEDIS Informatics and Business Intelligence jobs in Va - Work From Home, United States, straight to your inbox.
No spam · Unsubscribe anytime