Manager, Medicaid Risk Adjustment

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary

We are seeking a highly motivated and strategic professional to serve as the Medicaid Market Manager for our Risk Adjustment programs. This is a high-visibility role responsible for driving market level engagement, delivering insights, and demonstrating the value of Medicaid risk adjustment performance to senior leaders and market partners.

The Medicaid Market Manager will serve as the key connector between national Risk Adjustment strategy and market execution, ensuring alignment, accountability, and measurable impact. The individual in this role will lead monthly market meetings, translate performance data into actionable insights, and collaborate with cross functional partners to enhance provider engagement and member outcomes.Required Qualifications

2+ years risk adjustment

2+ years experience working in insurance regulatory and contractual environments

Self-starter who demonstrates initiative and displays a high energy level. Intellectual curiosity and tenacity: strong abilitity to learn on the fly; to understand and solve complex problems. Thinks and acts strategically - Anticipates opportunities and challenges.

Drives long-term strategies while maintaining focus on shorter-term objectives.

Skilled at relationship building to foster effective working relations across the teams, including functional and divisional leaders.

Ability to thrive in a fast-paced, highly visible role with competing priorities. Excellent communication skills with a demonstrated ability to present effectively to executive leadership.

Strong analytical and problem-solving skills.

Proven ability to lead projects end to end.Preferred Qualifications

Experience delivering presentations to Senior Executives and Provider groups Master's degree or management development program preferred.

2+ years of experience in the health care industry, Medicaid operations, risk adjustment, or medical coding and documentation

Deep knowledge of local markets across Aetna Medicaid.

Ability to pivot and flex regarding competing priorities.

Education
Bachelor's Degree in Business, Public Health, Health Administration, or related field or equivalent work experience Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$54,300.00 - $119,340.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.