Medicaid Risk Adjustment Market 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. Position Summary We are seeking a highly motivated and strategic professional to serve as the Medicaid Market Manager for our Risk Adjustment programs. This is a high-visibility role responsible for driving market level engagement, delivering insights, and demonstrating the value of Medicaid risk adjustment performance to senior leaders and market partners. The Medicaid Market Manager will serve as the key connector between national Risk Adjustment strategy and market execution, ensuring alignment, accountability, and measurable impact. The individual in this role will lead monthly market meetings, translate performance data into actionable insights, and collaborate with cross functional partners to enhance provider engagement and member outcomes. 1. Market Lead & Performance Management Function as a face of Revenue Integrity across internal market teams. Develop and deliver executive level presentations highlighting key performance drivers, challenges, and solutions. Investigates operational issues that impact market performance – work with business partners to implement solutions. Track deliverables and identify barriers in market engagement in conjunction with implementing resolutions. Assist with development of educational material to support market intelligence. Engage with market clinical team, care management team, member services team; attend market level meetings as appropriate. Apply project management skills to coordinate deliverables, track timelines, and manage competing priorities. 2.Data Analysis & Reporting Work clo...