OPT Clinical Informatics Specialist Jobs
Clinical Informatics Specialist roles sit at the intersection of healthcare and technology, making them a strong fit for OPT students with backgrounds in health informatics, computer science, or biomedical engineering. Most positions qualify as STEM OPT extensions, giving you up to three years of work authorization to build U.S. experience in this field.
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Get Access To All JobsWe’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.
Job Description Summary
In this role, you will support the strategy, oversight, and valuation of vendors serving Medicare and Medicaid risk adjustment programs. The position evaluates vendor capabilities and performance, develops financial and return-on-investment analyses, and uses data to forecast revenue impact and identify risks and opportunities. It partners with business, technical, and regional stakeholders to translate risk adjustment requirements into effective vendor solutions, governance routines, and performance measures. The role also presents valuation findings, recommendations, and escalation items to senior leaders while promoting compliant, accountable, and analytically driven decision-making.
What you will do
- Support vendor management teams and regional stakeholders with vendor strategy, selection, contracting, onboarding, performance management, and issue resolution for Medicare and Medicaid risk adjustment programs
- Develop and maintain vendor valuation methodologies that quantify financial opportunity, return on investment, operational impact, and performance against contractual commitments
- Evaluate vendor capabilities, data quality, coding accuracy, submission readiness, scalability, and alignment with enterprise risk adjustment objectives
- Establish scorecards, key performance indicators, and governance routines to monitor vendor performance
- Use technology and programming skillsets to oversee data, reporting, and analytics needed to assess risk adjustment performance, forecast revenue impact, reconcile results, and identify emerging opportunities or risks
- Translate Medicare and Medicaid risk adjustment requirements into clear business, data, and technology specifications for internal teams and external vendors
- Develop, maintain, and execute analytics and AI-enabled capabilities that improve vendor oversight, valuation accuracy, operational efficiency, and decision-making while maintaining accountability
- Design and maintain documentation for vendor processes, data flows, and valuation models
- Present vendor performance, valuation findings, recommendations, and escalation items to senior leaders and governance forums
Required Qualifications
- 3+ years of relevant experience in healthcare analytics, risk adjustment, vendor management, financial analysis, or an equivalent combination of experience
- Working knowledge of Medicare Advantage, Medicare Part D, Medicaid, and state-specific risk adjustment programs
- 2+ years of experience with SQL and/or Python for data analysis, validation, reconciliation, and performance measurement
- 2+ years of experience with business intelligence reporting tools such as Amazon Quick, Tableau, or Power BI
- Strong problem-solving, decision-making, planning, execution, collaboration, and stakeholder management skills
Preferred Qualifications
- Experience with Medicare Advantage, Part D, Medicaid, or state risk adjustment models, data submissions, reconciliation, and revenue forecasting
- Experience evaluating and managing risk adjustment vendor performance
- Experience developing vendor valuations, financial forecasts, sensitivity analyses, and return-on-investment assessments
- Experience with contract performance measures, procurement processes, vendor scorecards, and executive governance
- Experience using governed analytics or AI-enabled capabilities to improve risk adjustment operations, valuation, or vendor oversight
- Experience with cloud platforms such as Amazon Web Services (AWS) and Google Cloud Platform (GCP)
- Experience working with Databricks to query data, develop analysis, and deploy dashboards
Education
Bachelor's degree preferred/specialized training/relevant professional qualification.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$60,300.00 - $145,860.00
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.
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: 11/09/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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.
Job Description Summary
In this role, you will support the strategy, oversight, and valuation of vendors serving Medicare and Medicaid risk adjustment programs. The position evaluates vendor capabilities and performance, develops financial and return-on-investment analyses, and uses data to forecast revenue impact and identify risks and opportunities. It partners with business, technical, and regional stakeholders to translate risk adjustment requirements into effective vendor solutions, governance routines, and performance measures. The role also presents valuation findings, recommendations, and escalation items to senior leaders while promoting compliant, accountable, and analytically driven decision-making.
What you will do
- Support vendor management teams and regional stakeholders with vendor strategy, selection, contracting, onboarding, performance management, and issue resolution for Medicare and Medicaid risk adjustment programs
- Develop and maintain vendor valuation methodologies that quantify financial opportunity, return on investment, operational impact, and performance against contractual commitments
- Evaluate vendor capabilities, data quality, coding accuracy, submission readiness, scalability, and alignment with enterprise risk adjustment objectives
- Establish scorecards, key performance indicators, and governance routines to monitor vendor performance
- Use technology and programming skillsets to oversee data, reporting, and analytics needed to assess risk adjustment performance, forecast revenue impact, reconcile results, and identify emerging opportunities or risks
- Translate Medicare and Medicaid risk adjustment requirements into clear business, data, and technology specifications for internal teams and external vendors
- Develop, maintain, and execute analytics and AI-enabled capabilities that improve vendor oversight, valuation accuracy, operational efficiency, and decision-making while maintaining accountability
- Design and maintain documentation for vendor processes, data flows, and valuation models
- Present vendor performance, valuation findings, recommendations, and escalation items to senior leaders and governance forums
Required Qualifications
- 3+ years of relevant experience in healthcare analytics, risk adjustment, vendor management, financial analysis, or an equivalent combination of experience
- Working knowledge of Medicare Advantage, Medicare Part D, Medicaid, and state-specific risk adjustment programs
- 2+ years of experience with SQL and/or Python for data analysis, validation, reconciliation, and performance measurement
- 2+ years of experience with business intelligence reporting tools such as Amazon Quick, Tableau, or Power BI
- Strong problem-solving, decision-making, planning, execution, collaboration, and stakeholder management skills
Preferred Qualifications
- Experience with Medicare Advantage, Part D, Medicaid, or state risk adjustment models, data submissions, reconciliation, and revenue forecasting
- Experience evaluating and managing risk adjustment vendor performance
- Experience developing vendor valuations, financial forecasts, sensitivity analyses, and return-on-investment assessments
- Experience with contract performance measures, procurement processes, vendor scorecards, and executive governance
- Experience using governed analytics or AI-enabled capabilities to improve risk adjustment operations, valuation, or vendor oversight
- Experience with cloud platforms such as Amazon Web Services (AWS) and Google Cloud Platform (GCP)
- Experience working with Databricks to query data, develop analysis, and deploy dashboards
Education
Bachelor's degree preferred/specialized training/relevant professional qualification.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$60,300.00 - $145,860.00
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.
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: 11/09/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
See all 77+ OPT Clinical Informatics Specialist Jobs
Sign up for free to unlock all listings, filter by visa type, and get alerts for new OPT Clinical Informatics Specialist Jobs.
Get Access To All JobsTips for Finding OPT Sponsorship as a Clinical Informatics Specialist
Confirm your role qualifies for STEM OPT
Clinical Informatics Specialist positions typically fall under CIP codes for health informatics or computer science, qualifying for the 24-month STEM extension. Verify your specific degree CIP code with your DSO before accepting an offer to avoid authorization gaps.
Target health systems with dedicated informatics departments
Large hospital networks like academic medical centers and integrated health systems employ full informatics teams and have established HR processes for OPT. Smaller clinics rarely have the infrastructure to support work authorization paperwork without significant friction.
Highlight EHR platform experience prominently
Fluency with Epic, Cerner, or Meditech is the single fastest signal to hiring managers in this field. List your specific modules, certifications, and implementation projects in your resume header so they appear before a recruiter decides whether to read further.
Frame your OPT timeline around project cycles
Informatics implementations run 12 to 24 months. If your OPT authorization covers a full project cycle, make that explicit in interviews. Employers are more comfortable sponsoring later when they can see you delivering value through a complete deployment.
Get your E-Verify requirement handled early
STEM OPT employers must be enrolled in E-Verify before you start work. Confirm this during the offer stage, not after signing. If the employer is not yet enrolled, ask HR how long enrollment takes so you can adjust your start date if needed.
Build credentials that signal long-term sponsorship value
CPHIMS certification, HL7 FHIR training, or a graduate certificate in clinical informatics directly increases your H-1B visa sponsorship appeal. Employers weigh the cost of sponsorship against your replaceability, and specialized credentials shift that calculation in your favor.
Clinical Informatics Specialist OPT: Frequently Asked Questions
Do Clinical Informatics Specialist jobs qualify for the STEM OPT extension?
Most do, but it depends on your degree field. Clinical Informatics Specialist roles typically qualify when your degree is in health informatics, biomedical informatics, computer science, or a related STEM field. Your DSO can confirm whether your specific CIP code appears on the STEM Designated Degree Program list. If it does, you're eligible for up to 24 additional months of work authorization beyond your initial 12-month OPT.
Which employers commonly hire OPT students for Clinical Informatics Specialist roles?
Academic medical centers, large hospital networks, health insurance companies, and healthcare IT vendors are the most consistent employers for this role. Organizations running active EHR implementations or interoperability projects have the most immediate hiring need. You can browse Clinical Informatics Specialist positions that accommodate OPT authorization directly on Migrate Mate, which filters for employers open to sponsoring international candidates.
What does a Clinical Informatics Specialist actually do day-to-day?
The role centers on improving how clinical staff use health technology systems. Day-to-day work includes configuring EHR workflows, training clinicians on system updates, analyzing clinical data for quality improvement, and troubleshooting system issues that affect patient care. Many positions also involve participating in go-live support during new EHR implementations, which means rotating shifts and on-site presence during critical rollout periods.
Can I work as a Clinical Informatics Specialist on pre-completion OPT?
Yes, if your position directly relates to your degree program. Pre-completion OPT has the same specialty occupation requirement as post-completion OPT. A Clinical Informatics Specialist role should connect clearly to a degree in health informatics, nursing informatics, or a related field. You're limited to 20 hours per week while school is in session, which makes pre-completion OPT better suited for part-time or contract informatics positions.
How does this role fit into a path toward H-1B sponsorship?
Clinical Informatics Specialist is a strong H-1B candidate role because it requires specialized knowledge at the intersection of clinical practice and information systems, which meets the specialty occupation standard. Employers in health systems routinely sponsor H-1B petitions for informatics staff they've trained on proprietary systems. Using your OPT period to demonstrate measurable impact on clinical workflows, quality metrics, or cost outcomes makes the sponsorship case significantly easier for your employer to justify.