Medicaid Risk Adjustment Market Leader

CVS Health Corporation; Saint Paul (MN); On-site; USD 54,000 - 146,000; Full time

Job summary

CVS Health is seeking a Medicaid Market Manager to lead risk adjustment efforts across markets, delivering insights to senior leaders and health plan partners. You will connect national strategy with market execution, guiding territory meetings and cross-functional collaboration to improve risk adjustment performance.

The role emphasizes data-driven analysis, executive-ready storytelling with PowerPoint, and strong project management to coordinate timelines, owners, and milestones in a

Qualifications

• 5+ years of experience delivering executive presentations to senior leaders and cross-functional audiences.
• 2+ years experience with health insurance regulatory and contractual requirements.
• Demonstrated ability to lead recurring territory meetings with health plan executives.
• Ability to 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 projects from scope to milestones.
• Translate complex data into concise actionable insights using visuals and storytelling.
• Ensure follow-up on takeaways and drive accountability across stakeholders.
• Maintain organized tracking of deliverables and timelines.

Responsibilities

• Function as a face of Revenue Integrity across internal market teams and present executive-level findings.
• Develop and deliver dashboards, reports, and insights to support risk adjustment performance.
• Lead territory meetings for health plan executives and presidents with timely insights and recommendations.
• Coordinate working groups with provider engagement, network, and quality partners.
• Apply project management to coordinate deliverables, track timelines, and manage priorities.
• Monitor risk adjustment strategy and collaborate on market-specific initiatives to improve outcomes.

Skills

Executive presentations

PowerPoint

Cross-functional leadership

Project management

Data analysis

Market engagement

Regulatory knowledge

Stakeholder management

Communication

Education

Bachelor's Degree

Job description

CVS Health is seeking a Medicaid Market Manager to lead risk adjustment efforts across markets, delivering insights to senior leaders and health plan partners. You will connect national strategy with market execution, guiding territory meetings and cross-functional collaboration to improve risk adjustment performance.

The role emphasizes data-driven analysis, executive-ready storytelling with PowerPoint, and strong project management to coordinate timelines, owners, and milestones in a