
Senior Manager, Risk Adjustment Vendor Management
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in Idaho, +3 more states.
• Oversee risk adjustment vendors
• Direct procurement procedures, quality management, and performance analysis
• Collaborate with subject matter experts across all business lines to foster and promote a local market culture focused on excellence in revenue integrity
• Engage directly with internal colleagues and, when appropriate, with external provider and vendor partners
• Evaluate intervention opportunities and effectiveness related to complete and accurate diagnosis capture and reporting for members and providers
• Report to the Revenue Integrity Lead Director of Provider Support and Enablement
• Over 7 years of experience in management consulting, project consulting, change management, business process consulting, project management, and/or strategic business planning
• More than 3 years of experience in Risk Adjustment or working with Risk Adjustment Vendors
• Proven senior-level relationship management capabilities
• Ability to swiftly establish and maintain credible relationships at various organizational levels concurrently
• Experience with enterprise-wide and/or cross-functional large-scale projects with significant complexity
• Bachelor's degree or equivalent professional experience
• Preferably, experience in people leadership
• CVS Health bonus, commission, or short-term incentive program
• Target for awards in the company’s equity award program
• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Additional resources promoting physical, emotional, and financial well-being
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