Medicare Risk Adjustment , Manager (Southeast)

tional and local risk adjustment teams, risk coding improvement activities within the region, medical record collection, provider collaboration and data sharing, general coding education and related activities, as well as other activities as assigned. This position requires someone who can think strategically and act independently when working with providers. This position reports to the Lead Director of Risk Adjustment for the Southeast Region.Required Qualifications
• Certification in coding (CPC, CRC, RHIA, etc. through AAPC or AHIMA)
• 5+ years of experience with one or more of the following methodologies: risk adjustment, clinical quality, or healthcare quality improvement
• Experience working in provider offices, accountable care organizations and / or value-based provider relations
• Strong time management, project management, change management, organizational, research, analytical, negotiation, communication, and interpersonal skills
• Strong proficiency in Microsoft Office applications (Outlook, Word, Excel, Power Point, etc.), including experience running web based meetings.
• Must be able to manage ambiguity and work in fast paced environment
• Excellent stakeholder relationship management skills

Preferred Qualifications

• 7+ years of risk adjustment, clinical quality, or healthcare quality improvement experience

Education

Bachelor's degree or equivalent professional work experience.Pay Range

The typical pay range for this role is:$54,300.00 - $119,340.00

This 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. This position also includes an award target in the company's equity award program.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.

For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 06/27/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.