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CVS Health

Bringing our heart to every moment of your health.

Senior Manager, Revenue Integrity, Medicare Strategic Programs

ManagerManagerFull TimeRemoteSeniorTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Idaho + 2 moreAll locations: Idaho, Massachusetts, Texas

Posted

48 days ago

Salary

$67.9K - $199.1K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

• Reporting to the Lead Director of Medicare Revenue Integrity (RI) • Work closely with various RI Lead Directors and subject matter experts across the Medicare business to establish and champion market level revenue integrity excellence • Responsible for supporting all assigned market level risk adjustment activities and processes related to complete and accurate diagnosis capture through provider and member engagement • Lead the work and deliverables of multiple complex projects, focusing on process improvement, production, and data analysis • Act as a liaison with other key business areas, internally and externally • Play a critical role in extracting, analyzing, and interpreting healthcare and financial data from multiple sources to address business opportunities regarding population health management, health and economic outcomes, and other business needs

Job Requirements

  • A minimum of 5 years of experience with Medicare Risk Adjustment
  • A minimum of 2 years of data analytics experience, using data to tell a story
  • Proven ability to manage multiple projects simultaneously and meet deadlines
  • Ability to manipulate the data using Microsoft Excel

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

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