Risk Adjustment Project Manager

Job Description
CVS Health has an exciting opportunity for a Project Manager to join our Risk Adjustment Analytics team! In this role you will serve as a subject matter expert in Medicaid risk adjustment methodology and risk scoring.

You will be responsible for managing State risk adjustment files and methodology documentation, deciphering and documenting methodology changes, and maintaining a risk adjustment methodology grid to be used when communicating updates to key business partners.

Join this exciting opportunity to work directly with different teams across the organization and have a meaningful impact on our business!

Successful candidates will possess the following abilities:

• Design and code efficiently in SAS, SQL or similar programming language
• Execute algorithms to solve business problems
• Motivated and willing to probe into technical details
• Problem solve
• Build and improve processes
• Juggle multiple priorities
• Be organized and exhibit attention to detail

Pay Range
The typical pay range for this role is:
Minimum: 60,300
Maximum: 130,000

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

• 5 or more years of data analytics experience
• 3 or more years of experience in technical programming fundamentals in SQL, SAS, or other data management software
• 3 or more years of experience in creating reports and pivot tables in Excel

Preferred Qualifications

• Knowledge of government-regulated healthcare programs such as Medicare or Medicaid
• Knowledge of health insurance concepts
• Experience working in risk adjustment
• Experience working at a health plan
• Attention to detail and working independently
• Project management experience

Education
Bachelor's Degree or equivalent work experience required

Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.