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
Revenue Integrity Informatics is seeking a Lead Director, Informatics to lead Medicare Advantage and ACA risk adjustment analytics, predictive modeling, intervention strategy, and financial valuations. This role is responsible for driving risk score accuracy and completeness, ensuring regulatory compliance, and delivering actionable data-informed opportunities. The role is highly visible within the enterprise and will be a key contributor to strategic decision-making with senior management.
The Lead Director will manage a high-performing team (approximately 5 directs and overall scope 13) with backgrounds in data, analytics,



and informatics to build opportunity algorithms, optimize processes, mitigate risks, and create business impact.
This role will work in close partnership with executive leadership, market leaders, finance, service operations, compliance, and vendor partners.
This role may sit anywhere in the US.
Key Responsibilities
Risk Adjustment & Business Performance
- Lead enterprise risk adjustment analytics supporting risk score completeness, accuracy, engagement, recapture, and algorithms.
- Leverage claims and clinical data for deep learning into drivers of performance and model impacts.
- Proactively engage with stakeholders on emerging trends, rising risk, and data-driven opportunities
- Overseethe analytics that drive risk adjustment intervention activities, including prospective and retrospective programs.
- Directs the prioritization and performance evaluation of outreach, engagement, and clinical

📌 Lead Director, Medicare Advantage and Group ACA Risk Adjustment Informatics (Argentina)
🏢 Cvs Health
📍 Argentina