Medicaid Risk Adjustment Market Lead

CVS Health Corporation; Jefferson City (MO); On-site; USD 54,000 - 146,000; Full time

Benefits offered by this job

Comprehensive benefits

Bonus incentive program

Job summary

CVS Health Corporation is seeking a Medicaid Market Manager to drive risk adjustment performance and market engagement. You will connect national strategy with market execution, leading territory meetings and delivering insights to executives.

Responsibilities include coordinating with health plan leaders, developing dashboards with Informatics, and steering cross-functional teams to improve risk scores while maintaining regulatory compliance.

Qualifications

• 5+ years delivering executive presentations to senior leaders.
• 2+ years experience with health insurance regulatory requirements.
• Experience leading territory meetings with health plan executives.
• Ability to research and validate information from multiple sources.
• Advanced PowerPoint proficiency with executive-ready decks.
• Led cross-functional initiatives with documented schedules and RAID logs.
• Translate complex data into concise actionable insights.
• Strong follow-up and accountability across stakeholders.
• Excellent organizational skills and attention to detail.
• Collaborates with provider engagement, network, quality, and operations.

Responsibilities

• Lead Medicaid market strategy and execution across markets.
• Develop executive level presentations on performance drivers and challenges.
• Coordinate territory meetings with health plan executives and presidents.
• Collaborate with provider engagement and quality partners on risk initiatives.
• Monitor performance and drive improvements in risk adjustment.
• Work with Informatics on dashboards and reports.
• Identify opportunities using data analyses and market insights.
• Ensure timely milestones and ownership across teams.

Skills

Executive presentations

Stakeholder management

Data analysis

Project management

Strategic thinking

Communication

Cross-functional collaboration

Attention to detail

Regulatory knowledge

PowerPoint

Education

Bachelor's Degree or equivalent

Master's degree preferred

Tools

Microsoft PowerPoint

Job description

CVS Health Corporation is seeking a Medicaid Market Manager to drive risk adjustment performance and market engagement. You will connect national strategy with market execution, leading territory meetings and delivering insights to executives.

Responsibilities include coordinating with health plan leaders, developing dashboards with Informatics, and steering cross-functional teams to improve risk scores while maintaining regulatory compliance.