Medicaid Risk Adjustment Market Strategy Lead

CVS Health Corporation; Boston (MA); 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, delivering insights to senior leaders and market partners. You will lead territory meetings, collaborate with executives, and drive timely risk adjustment initiatives.

The role emphasizes data-driven decision making, cross-functional leadership, and strategic execution across markets, with a strong focus on performance, governance, and regulatory compliance.

Qualifications

• 5+ years presenting to senior leaders and cross-functional audiences.
• 2+ years in health insurance regulatory requirements.
• Experience leading territory meetings with health plan executives.
• Ability to validate information from multiple sources with minimal direction.
• Advanced PowerPoint skills for executive-ready decks.
• Proven track record leading cross-functional initiatives with schedules and RAID logs.

Responsibilities

• Market Lead & Performance Management: present performance drivers, engage stakeholders, drive resolution.
• Data Analysis & Reporting: review requirements, dashboards, and market performance.
• Strategy & Execution: identify market risk strategies and coordinate with local markets.
• Coordinate with provider engagement, network, and quality partners to advance risk adjustment priorities.
• Stay updated on regulatory changes and best practices; collaborate with product, sales, and clinical teams.

Skills

Executive presentations

Regulatory knowledge

PowerPoint

Cross-functional collaboration

Project management

Data analysis

Risk adjustment

Leadership

Education

Bachelor's degree or equivalent

Job description

CVS Health Corporation is seeking a Medicaid Market Manager to connect national risk adjustment strategy with market execution, delivering insights to senior leaders and market partners. You will lead territory meetings, collaborate with executives, and drive timely risk adjustment initiatives.

The role emphasizes data-driven decision making, cross-functional leadership, and strategic execution across markets, with a strong focus on performance, governance, and regulatory compliance.