Medicaid Risk Adjustment Market Leader

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

Benefits offered by this job

Comprehensive benefits package

Bonus eligibility

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 executive insights, and coordinate cross-functional teams to drive performance in Medicaid risk adjustment initiatives.

The role emphasizes data-driven storytelling, project management, and collaboration with health plan executives to impact outcomes.

Qualifications

• 5+ years of experience delivering executive presentations to senior leaders and cross-functional audiences.
• 2+ years experience of health insurance regulatory and contractual requirements.
• Demonstrated experience leading recurring territory meetings with health plan executives and territory presidents.
• Advanced proficiency in PowerPoint with 3+ years producing executive-ready decks.
• Proven ability to lead projects end-to-end with documented schedules and status reporting.

Responsibilities

• Function as a face of Revenue Integrity across internal market teams and lead territory meetings with health plan executives.
• Develop and deliver executive level presentations highlighting performance drivers, challenges, and solutions.
• Investigate operational issues and collaborate with partners to implement solutions.
• Track deliverables, identify barriers, and coordinate with teams to drive resolutions.
• Lead workstreams with provider engagement, network, and quality partners to support risk adjustment initiatives.

Skills

Executive presentations

Regulatory requirements

Project management

Data analysis

Cross-functional collaboration

PowerPoint

Stakeholder management

Attention to detail

Operations coordination

Strategic thinking

Education

Bachelor's Degree or equivalent work experience

Tools

PowerPoint

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 executive insights, and coordinate cross-functional teams to drive performance in Medicaid risk adjustment initiatives.

The role emphasizes data-driven storytelling, project management, and collaboration with health plan executives to impact outcomes.