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Manager – Risk Adjustment

Manager – Risk Adjustment

CompanyCVS Health
LocationKansas, USA, Iowa, USA, Nebraska, USA, Kentucky, USA, Wisconsin, USA, Ohio, USA, Indiana, USA, Michigan, USA, Illinois, USA, Alabama, USA
Salary$54300 – $119340
TypeFull-Time
DegreesMaster’s
Experience LevelMid 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.