Medicaid Risk Adjustment Market Leader

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

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a Medicaid Market Manager to drive market engagement, deliver insights, and demonstrate the value of Medicaid risk adjustment performance to senior leaders. The role connects national strategy with market execution and leads territory meetings with health plan executives.

The position requires strong presentation skills, regulatory knowledge, and end-to-end project management to advance risk adjustment initiatives and improve outcomes across markets.

Qualifications

• 5+ years delivering executive presentations to senior leaders and cross-functional audiences.
• 2+ years in health insurance regulatory and contractual requirements.
• Ability to lead recurring territory meetings with health plan executives and presidents.
• Experience researching, gathering, and validating information from multiple sources.
• Advanced proficiency in PowerPoint with 3+ years producing executive-ready decks.

Responsibilities

• Lead market performance analytics and prepare executive-level insights.
• Coordinate with market teams to address gaps and implement solutions.
• Develop and deliver educational material to support market intelligence.
• Monitor risk adjustment strategy and drive cross-functional initiatives.
• Collaborate with provider engagement, network, and quality teams.

Skills

Executive presentations

Regulatory knowledge

Project management

Data storytelling

Cross-functional collaboration

Attention to detail

Risk adjustment knowledge

Education

Bachelor's Degree or equivalent work experience

Tools

Microsoft PowerPoint

Job description

CVS Health is seeking a Medicaid Market Manager to drive market engagement, deliver insights, and demonstrate the value of Medicaid risk adjustment performance to senior leaders. The role connects national strategy with market execution and leads territory meetings with health plan executives.

The position requires strong presentation skills, regulatory knowledge, and end-to-end project management to advance risk adjustment initiatives and improve outcomes across markets.