Medicaid Risk Adjustment Market Lead

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

Job summary

CVS Health Corporation is seeking a Medicaid Market Manager to connect national risk adjustment strategy with market execution. You will lead territory meetings, deliver insights, and drive risk adjustment performance with health plan executives across markets.

The role oversees data analysis, strategy development, and cross-functional collaboration, ensuring timely, accurate risk scores and stakeholder alignment in a fast-paced healthcare environment.

Qualifications

• 5+ years of experience developing and delivering executive presentations to senior leaders.
• 2+ years experience of health insurance regulatory and contractual requirements.
• Leading recurring territory meetings with health plan executives and territory presidents.
• Independently research, gather, and validate information from multiple sources.
• Advanced proficiency in Microsoft PowerPoint with 3+ years producing executive-ready decks.
• Proven ability to lead cross-functional initiatives with schedules and RAID logs.

Responsibilities

• Function as a face of Revenue Integrity across internal market teams.
• Develop and deliver executive level presentations highlighting performance drivers.
• Investigate operational issues affecting market performance and implement solutions.
• Track deliverables and barriers in market engagement and resolutions.
• Lead territory meetings for health plan executives and territory presidents.
• Coordinate with provider engagement, network and quality partners on initiatives.
• Apply project management to coordinate timelines and milestones.

Skills

Executive presentations

PowerPoint

Project management

Data analysis

Stakeholder management

Cross-functional collaboration

Education

Bachelor's Degree or equivalent

Master's degree preferred

Job description

CVS Health Corporation is seeking a Medicaid Market Manager to connect national risk adjustment strategy with market execution. You will lead territory meetings, deliver insights, and drive risk adjustment performance with health plan executives across markets.

The role oversees data analysis, strategy development, and cross-functional collaboration, ensuring timely, accurate risk scores and stakeholder alignment in a fast-paced healthcare environment.