Lead Director- Informatics Reporting

What You Will Do

• Reporting Strategy & Execution 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.
• Advanced Analytics & Insights 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 .
• Governance, Compliance & Quality 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 .
• Internal Capability Development 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 .
• Team Leadership & Development 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 .
• Healthcare Domain Focus (Critical) 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
• operational excellence .
• Required Qualifications: 10+ years of experience in informatics, analytics
• business intelligence Strong healthcare domain experience, preferably in: Claims, grievances, authorization and appeals Demonstrated leadership in data strategy, reporting
• team development Preferred Qualifications: 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.
• Education: Bachelors Degree Required, Masters Preferred 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
• This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
• The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
• Additional details about available benefits are provided during the application process and on Benefits Moments .
• We anticipate the application window for this opening will close on: 07/27/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.