Manager – Risk Adjustment
Company | CVS Health |
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Location | Kansas, USA, Iowa, USA, Nebraska, USA, Kentucky, USA, Wisconsin, USA, Ohio, USA, Indiana, USA, Michigan, USA, Illinois, USA, Alabama, USA |
Salary | $54300 – $119340 |
Type | Full-Time |
Degrees | Master’s |
Experience Level | Mid Level, Senior |
Requirements
- 2 to 5 years Government Programs experience including Medicare, Commercial ACA, and/or Medicaid.
- Risk adjustment working knowledge and understanding.
- Process development and management and/or strategic business planning.
- Enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity.
- Demonstrated experience successfully implementing change in regulated and highly complex organizations.
Responsibilities
- Responsible for managing detailed project plans to include milestones, tasks, and target/actual dates of completion.
- Support provider performance that improves risk score accuracy through meaningful engagement.
- Manage project timelines and clear barriers to team progress, including team conflict. Escalate risks and impasses to leadership.
- Identify data issues and efforts related to improving data generation and flow throughout the organization, including reporting process and protocol for assigned projects.
Preferred Qualifications
- Excellent knowledge of Microsoft Office products including Excel, PowerPoint, Forms, Visio, etc.
- Excellent computer, proof reading, and written and verbal communication skills. Excellent interpersonal skills including the ability to communicate effectively with internal and external customer base.
- Ability to lead, work independently, proactively with limited supervision, and in a collaborative manner.
- Ability to work under pressure. Ability to maintain the security of confidential information.
- Master’s degree.