Senior Manager, Medicaid Revenue Integrity - Remote

Overview

The Senior Manager, Medicaid Revenue Integrity at CVS Health will lead market level revenue integrity excellence and support risk adjustment activities. This role involves project management, data analysis, and collaboration with various stakeholders to enhance healthcare outcomes.

In Short

• Lead market level revenue integrity initiatives.
• Manage multiple complex projects simultaneously.
• Support risk adjustment activities in the Medicaid business.
• Analyze and interpret healthcare and financial data.
• Collaborate with internal and external stakeholders.
• Utilize data visualization tools for reporting.
• Ensure accurate diagnosis capture through engagement.
• Develop and present project deliverables.
• Drive process improvements across projects.
• Foster a workplace that values diversity and inclusion.

Requirements

• 5+ years of data analytics experience in healthcare.
• 5+ years of project management experience.
• 2+ years of leadership experience.
• Strong analytical and problem-solving skills.
• Proficiency in Microsoft suite and data visualization tools.
• Excellent communication and presentation skills.
• Detail-oriented with strong organizational skills.
• Knowledge of risk adjustment, preferably Medicaid.
• Experience in SQL, SAS, or similar programming language.
• Bachelor's Degree or equivalent work experience.

Benefits

• Affordable medical plan options.
• 401(k) plan with matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs and counseling.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave options.
• Comprehensive benefits for physical and emotional wellness.
• Retiree medical access and dependent care resources.
• Recognition programs and commitment to sustainability.
• Opportunities for collaboration and team building.