Medicaid Risk Adjustment Market Lead

CVS Health Corporation; Jackson (MS); On-site; USD 54,000 - 146,000; Full time

Job summary

CVS Health seeks a Medicaid Market Manager to drive risk adjustment performance across markets. You will connect national strategy with market execution, lead territory meetings with health plan executives, and present actionable insights to senior leaders guiding priorities and outcomes.

Responsibilities include data-driven analysis with informatics, cross-functional collaboration with providers and networks, and end-to-end project leadership to ensure timely milestones and measurable impact.

Qualifications

• 5+ years delivering executive presentations to senior leaders.
• 2+ years in health insurance regulatory requirements.
• Ability to lead territory meetings with health plan executives.
• Experience researching and validating information from multiple sources.
• Advanced PowerPoint with executive-ready decks.
• Proven end-to-end project leadership and RAID-style reporting.

Responsibilities

• Lead market engagement and present actions to senior leaders.
• Coordinate risk adjustment initiatives with providers and networks.
• Develop educational materials for market intelligence.
• Analyze data with Informatics to identify opportunities.
• Monitor programs and drive timely completion of next steps.

Skills

Executive presentations

Regulatory knowledge

PowerPoint proficiency

Project leadership

Stakeholder management

Data storytelling

Education

Bachelor's degree or equivalent work experience

Job description

CVS Health seeks a Medicaid Market Manager to drive risk adjustment performance across markets. You will connect national strategy with market execution, lead territory meetings with health plan executives, and present actionable insights to senior leaders guiding priorities and outcomes.

Responsibilities include data-driven analysis with informatics, cross-functional collaboration with providers and networks, and end-to-end project leadership to ensure timely milestones and measurable impact.