Medicaid Risk Adjustment Market Lead

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

Benefits offered by this job

Bonus eligibility

Comprehensive benefits

401(k) retirement plan

Job summary

CVS Health Corporation seeks a Medicaid Market Manager to connect national Risk Adjustment strategy with market execution and lead territory discussions with health plan executives. You will analyze performance, drive insights, and coordinate cross-functional efforts to improve risk adjustment outcomes.

The role emphasizes market leadership, data-driven decision making, and collaboration with clinical and operational teams.

Qualifications

• 5+ years of experience presenting to senior leaders and cross-functional audiences.
• 2+ years in health insurance regulatory and contractual requirements.
• Experience leading territory meetings with health plan executives and presidents.
• Ability to research, gather, and validate information from multiple sources.
• Advanced PowerPoint skills for executive-ready decks.

Responsibilities

• Lead market performance and executive communications across market teams.
• Develop and deliver presentations highlighting drivers, challenges, and solutions.
• Investigate issues impacting market performance and implement solutions.
• Coordinate deliverables, timelines, and RAID-style reporting with stakeholders.
• Partner with provider engagement, network, quality, and operations teams.

Skills

Executive presentations

Stakeholder management

Data interpretation

Project management

Cross-functional collaboration

Strategic thinking

Communication

Attention to detail

Education

Bachelor's degree or equivalent

Master's degree preferred

Tools

Microsoft PowerPoint

Job description

CVS Health Corporation seeks a Medicaid Market Manager to connect national Risk Adjustment strategy with market execution and lead territory discussions with health plan executives. You will analyze performance, drive insights, and coordinate cross-functional efforts to improve risk adjustment outcomes.

The role emphasizes market leadership, data-driven decision making, and collaboration with clinical and operational teams.