Lead Director - Quality HEDIS Analytics

Quality Measure Performance Forecasting Leader

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 the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Leads quality measure focused forecasting analytics and tableau dashboard team. Administers quality management data and analytics strategy to achieve internal and external constituent expectations for demonstrating quality outcomes and predicting future expected performance. Aligns policies and procedures for the Health Care Quality Management area with organizational goals. Develops methodologies to measure and monitor the quality and effectiveness of care and service provided to members.

What You Will Do

• Lead team of experienced analysts in support of HEDIS and other quality measure performance forecasting (ARIMA, exponential smoothing, regression methodologies)
• Guide analysts in development and maintenance of suite of Tableau-based dashboards spanning multiple healthcare products, highlighting quality and medical economic metrics
• Drive planning and administration of company programs and analytic initiatives that promote the Health Care Quality Management area's agenda.
• Implements organizational policies, goals, and objectives based on best practices in the field.
• Contributes to top-level decision making for the Health Care Quality Management area.
• Facilitate quality improvement initiative data reporting based on results of data collection and quality reporting.
• Ensures compliance with all government regulations and quality standards.
• Controls expenses to meet operational, functional, and service requirements in alignment with budget parameters.
• Communicates strategically with all stakeholders to influence support for key quality projects, programs, and solutions.
• Manages operational aspects of the team (e.g., budget, performance, and compliance), and implements workforce and succession plans to meet business needs.

Minimum Requirements

Preferred Experience

Education

Pay Range

The typical pay range for this role is :

$100,000.00 - $231,540.00

This 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. This position also includes an award target in the company's equity award program.

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 our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

We anticipate the application window for this opening will close on : 10 / 17 / 2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.