Senior Manager, Risk Adjustment Vendor Management

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
Reporting to Revenue Integrity Lead Director of Provider Support and Enablement, the Sr. Manager of Program Management will be responsible for Vendor Management. Responsibilities will include but not limited to Procurement processes, Quality Oversite, Performance Reporting, and will work closely with subject matter experts across all lines of business to establish and champion local market culture committed to revenue integrity excellence. This position will interact directly with internal colleagues and as appropriate external provider & vendor partners.  Analysis will focus on member and provider specific intervention opportunity and effectiveness around complete and accurate diagnosis capture and reporting.

Required Qualifications
- 7+ years experience with a combination of the following methodologies: management consulting, project consulting, change management, business process consulting, project management and/or strategic business planning

- 3+ years of Risk Adjustment experience or working with Risk Adjustment Vendors

- Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously

- Experience with enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity

Preferred Qualifications
People leadership experience

Education

Bachelor's degree or equivalent work experience

Pay Range

The typical pay range for this role is:

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 people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.