Medicaid Risk Adjustment Market Lead

CVS Health Corporation; Hartford (CT); Vor Ort; USD 54.000 - 146.000; Vollzeit

Benefits dieser Stelle

Bonus program

Comprehensive benefits

Paid time off

Zusammenfassung

CVS Health Corporation seeks a Medicaid Market Manager to connect national risk adjustment strategy with market execution and drive measurable impact across markets. You will lead territory meetings with health plan executives and collaborate with Informatics, provider engagement, and quality partners to deliver actionable insights and focused recommendations.

You will develop executive-level materials, manage timelines, and coordinate cross-functional teams to improve risk score performance and

Qualifikationen

• 5+ years of experience delivering executive presentations to senior leaders.
• 2+ years experience with health insurance regulatory requirements.
• Experience leading recurring territory meetings with health plan executives.
• Ability to research and validate information from multiple sources with minimal direction.
• Advanced proficiency in PowerPoint with 3+ years producing executive-ready decks.

Aufgaben

• Function as a face of Revenue Integrity across market teams.
• Develop and deliver executive presentations highlighting performance drivers and solutions.
• Investigate operational issues and work with partners to implement solutions.
• Lead territory meetings for health plan executives and presidents with timely insights and recommendations.
• Lead cross-functional working groups to determine support for risk adjustment initiatives.
• Coordinate deliverables, timelines, and RAID logs across stakeholders.
• Translate data into actionable insights using visuals and storytelling.

Kenntnisse

Executive presentation

Regulatory knowledge

Stakeholder management

Project management

Data storytelling

Research and validation

PowerPoint proficiency

Strategic thinking

Ausbildung

Bachelor's degree or equivalent

Tools

PowerPoint

Jobbeschreibung

CVS Health Corporation seeks a Medicaid Market Manager to connect national risk adjustment strategy with market execution and drive measurable impact across markets. You will lead territory meetings with health plan executives and collaborate with Informatics, provider engagement, and quality partners to deliver actionable insights and focused recommendations.

You will develop executive-level materials, manage timelines, and coordinate cross-functional teams to improve risk score performance and