Top 17 It portfolio & program delivery regulatory & strategic programs Jobs in Sc

Lead Director, Risk Adjustment Performance Reporting and Insights
CVS Health —South Carolina
- $100,000 - $231,540 a year
- Full-time
- Remote
- Computer Science
- Bachelor's degree
- Mentoring
- Health insurance
- Dental insurance
5d
Database Services Manager (IT Director I) - 60025271
State of South Carolina —Lexington County, SC
- $110,800 - $210,500 a year
- Monday to Friday
- Computer Science
- System design
- Office
- Paid holidays
- Disability insurance
6d
Senior Program Manager
Akima, LLC —North Charleston, SC
- Hybrid work
- Azure
- 11+ years
- Office
VP Information Technology
Dodge Industrial, Inc. —Simpsonville, SC
- Full-time
- Sales
- Writing skills
- 11+ years
Local Gastro Account Manager - Carolinas
AbbVie —Columbia, SC
- $132,000 - $238,000 a year
- Full-time
- Remote
- Pass drug screening
- Driver's License
- Travel
- Paid holidays
- Health insurance
Wealth Operations Business Management Specialist
TD Bank —Greenville, SC
- $91,000 - $145,600 a year
- Full-time
- 7 years
- Basic math
- Office
- Health insurance
- Paid time off
7d
Clinical Project Manager - Oncology (Client Dedicated/Remote)
サイネオス・ヘルス —South Carolina
- $120,000 - $135,000 a year
- Remote
- Mid-level
- 3 years
- Bachelor's degree
- Employee stock purchase plan
- Health insurance
Senior Product Manager
United Community Bank —Greenville, SC
- $69,995 - $116,041 a year
- Weekends as needed
- Marketing
- 5 years
- Office
8d
VP - Mortgage Lending
Founders Federal Credit Union —Lancaster, SC
- Pass drug screening
- Office
- Finance
- Wellness program
- AD&D insurance
Quick Apply
Clinical Trial Manager - Full Service
サイネオス・ヘルス —South Carolina
- Remote
- Computer literacy
- Bachelor's degree
- Travel
- Employee stock purchase plan
- Health insurance
Construction Project Manager for Healthcare Facilities
CSL-Consulting —North Charleston, SC
- Full-time
- Construction site
- Hospital
- Master's degree
Quick Apply
Senior Civil Engineer SME - AI Data Centers
Jacobs —Greenville, SC
- $169,500 - $233,000 a year
- Hybrid work
- Engineering
- 11+ years
- Office
- Paid holidays
- Health insurance
Director of Energy Storage, O&M
SOLV Energy, LLC —Columbia, SC
- $172,025 - $215,032 a year
- Full-time
- Remote
- Engineering
- 3 years
- US work authorization
- Paid holidays
- Disability insurance
Quick Apply
Indirect Tax Director
SOLV Energy, LLC —Columbia, SC
- $166,823 - $212,700 a year
- Extended hours
- Remote
- CPA
- ERP systems
- Master's degree
- Paid holidays
- Disability insurance
Quick Apply

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Lead Director, Risk Adjustment Performance Reporting and Insights

CVS Health -
South Carolina

Apply Now

Job Details

Full-time
$100,000 - $231,540 a year
5 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Program management
Data visualization software proficiency
Business intelligence report generation
Managing IT teams
Managing data teams
Team development
Programming languages
Business intelligence tools
Leading team collaboration initiatives
Project stakeholder communication
Stakeholder relationship building
Staff development
Stakeholder management

Full 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

Revenue Integrity is seeking a Lead Director, Informatics (Performance Reporting & Insights) to lead the development and delivery of enterprise risk adjustment analytics and business intelligence solutions. This role transforms complex clinical, operational, and risk adjustment data into actionable insights that will drive provider performance, program efficiency, and executive decision-making. This leader will be responsible for creating action through data storytelling, advanced visualizations, and helping to advance the organization’s reporting strategy through AI and automation. This

This role is customer-facing and will provide thought leadership and vision partnership to areas such as Market leads, Finance, Clinical, and Operational partners. The leader must also provide technical guidance to staff on BI tool input modeling and calculations.

Key Responsibilities

Risk Adjustment Performance Reporting

Accountable for timely and accurate sharing of risk adjustment KPIs, trends, and performance drivers at a market, plan, and provider level through dashboards and reporting tools
Quantify drivers of risk movement and surface those insights to business leaders for action
Assess performance against operational and organizational objectives, including appropriate benchmarking and goal setting
Deliver executive insights and recommendations that support market strategy, operational planning, and performance improvement initiatives.
Leverage underlying healthcare data, including claims, encounter, and clinical information, for deeper level learnings on drivers of outcomes

Provider Performance Analytics

Develop and oversee provider performance analytics that deliver actionable insights into gap closure, engagement, and overall risk adjustment outcomes.
Monitor provider performance across key metrics and identify variation, emerging trends, opportunities, and best practices across markets, specialties, and lines of business.
Partner with provider, clinical, and operational leaders to support performance improvement initiatives through data-driven insights and targeted intervention strategies.
Evaluate the effectiveness of provider-facing risk adjustment programs, value-based care, point-of-care enablement solutions, and other clinical and operational initiatives.

Analytics Innovation & Business Intelligence

Lead in the adoption of AI, advanced analytics, automation, and modern business intelligence capabilities.
Drive modernization of analytics platforms, data solutions, and self-service reporting tools.
Leverage predictive analytics and data visualization to improve insight generation and forecasting
Partner with Informatics, Data Engineering, and IT teams to build scalable, integrated analytics solutions.
Establish KPI definitions, governance standards, and a trusted enterprise analytics framework.
Establish and oversee analytics delivery priorities, ensuring effective intake management, work prioritization, resource allocation, and coordination across reporting and stakeholder needs

Team Leadership & Stakeholder Engagement

Lead, mentor, and develop a high-performing analytics and business intelligence team (approx. 4-5 direct reports and overall scope 7-8 employees)
Partner with executive leaders across Risk Adjustment, Finance, Actuarial, Clinical, Provider, and IT organizations.
Foster a culture of accountability, innovation, collaboration, and continuous learning
Champion and encourage new ideas, thinking, and ways to incorporate AI and advanced technology into everyday work.

Required Qualifications

10+ years of healthcare analytics, informatics, performance insights, actuarial, value-based, or business intelligence experience.
2+ years of leadership experience managing analytics, reporting, or business intelligence
Strong executive communication, strategic thinking, stakeholder management, and team development skills.
Advanced experience and familiarity with programming languages (such as SQL, Python, etc.) and BI platforms such as Power BI, Tableau, QuickSight
Proven ability to lead complex analytics portfolios, establish priorities, and maintain organization in developer code and processes

Preferred Qualifications

Demonstrated knowledge of Medicare, Medicaid, or ACA risk adjustment methodologies, HCC models, healthcare claims and clinical data, and CMS regulatory requirements.
Experience at a health plan or provider system

Education

Bachelor’s degree or equivalent professional work experience
Master's degree in Business, Informatics, Analytics, Finance, Statistics, Computer Science, Public Health, Healthcare analytics, Actuarial, Mathematics, Economics, or equivalent combination of advanced education, professional certification, or demonstrated subject matter expertise 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: 09/06/2026

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

Apply Now

Refine Your Search

it portfolio & program delivery regulatory & strategic programs jobs in sc

Lead Director, Risk Adjustment Performance Reporting and Insights

Database Services Manager (IT Director I) - 60025271

Senior Program Manager

VP Information Technology

Local Gastro Account Manager - Carolinas

Wealth Operations Business Management Specialist

Clinical Project Manager - Oncology (Client Dedicated/Remote)

Senior Product Manager

VP - Mortgage Lending

Clinical Trial Manager - Full Service

Construction Project Manager for Healthcare Facilities

Senior Civil Engineer SME - AI Data Centers

Director of Energy Storage, O&M

Indirect Tax Director

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