Risk Adjustment Outreach Manager

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. Under the direction of the Senior Manager of the RI Retro Ops Team, the Risk Adjustment Outreach Manager is responsible for leading initiatives that support the organization’s risk adjustment program and ensure timely and accurate data capture. A Brief Overview In this role, you will manage large-scale projects, analyze performance data, and collaborate with key stakeholders. You will build vendor relationships and engage providers to drive successful chart retrieval efforts and achieve organizational goals. What you will do Project Leadership: Manage assigned territory within the risk adjustment program from planning through completion, including leading cross-functional meetings, setting timelines, and tracking progress. Chart Retrieval Oversight: Ensure timely and accurate chart retrieval by managing processes, resolving barriers, and maintaining compliance. Provider Engagement: Conduct outreach to providers to address retrieval challenges and negotiate fees when necessary. Data Retrieval & Entry: Extract data from vendor portals and update designated spreadsheets, ensuring accuracy and timeliness. Vendor Management: Build and maintain vendor relationships, monitor performance and risks. Data Analysis & Reporting: Analyze data to identify trends, and develop actionable insights for program optimization. Present findings to senior leadership and external stakeholders. Performance Monitoring: Track and report on key metrics to ensure retrieval targets and internal benchmarks are consistently achieved. Cross-Functional Collaboratio...