Jobs in the United States

25+ jobs

Added 20 mins ago
Event Technology Program Manager
INSPYR Solutions
CA
Technology is our focus and quality is our commitment. As a national expert in delivering flexible technology and talent solutions, we strategically align industry and technical expertise…
Added 22 mins ago
IPS Analysis Chief (Associate Project Manager 2)
City of New York
Queens, NY
Within DEP’s Bureau of Water and Sewer Operations, the Division of Operations Analysis and Regulatory Compliance contains the IPS Analysis Unit (the Unit). The Unit is seeking to hire an…
Added 22 mins ago
Engineer-In-Charge
City of New York
New York City, NY
1. A baccalaureate degree from an accredited college or university in engineering, engineering technology, architecture, landscape architecture, architectural technology, construction,…
Added 22 mins ago
Director of Travel Services
City of New York
New York City, NY
…Director will oversee all domestic and international travel operations for employees, victims, and witnesses, while ensuring compliance with applicable policies, financial regulations, and…
Added 26 mins ago
TM
Store Lead
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Participates in driving business outreach opportunities and communicates leads to Store Manager.
Added 37 mins ago
Deputy Operations Manager
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Added 37 mins ago
Executive Director, Case Management
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…and operational leadership for the enterprise Case Management program across all Beth Israel Lahey Health (BILH) facilities. This role will lead the transformation of Case Management…
Added 37 mins ago
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Customer Success Program Manager - Food
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Added 37 mins ago
Startup Program Manager
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Added 37 mins ago
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M365 Support Engineer
TEKsystems
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- $40 to $55 USD / hour
Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks…
Added 37 mins ago
Medication Safety Coordinator
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Interface with Product Management, Commercial Operations, Customer Service Managers (CSM), Parts Fulfillment Leaders Project Managers and other functional groups as required as part of an…
Added 37 mins ago
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Product Manager, Team Digital Products
Eliassen Group
Boston, MA
- $50 to $55 USD / hour
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Added 37 mins ago
Clinical Trial Management Support, Late Phase Metabolic Studies
Eliassen Group
Boston, MA
Our client is seeking a Clinical Trial Manager to support two Phase III global studies in the MASH therapeutic area. The role will provide hands-on operational support for monitoring visit…
Added 50 mins ago
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Administrative Assistant - Part Time Temp
SitusAMC
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- Part-time
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Added 53 mins ago
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Associate Manufacturing Engineer
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- $59,000 to $86,000 USD / year
…skills, experience, and qualifications, as well as market and business…
Added 53 mins ago
APS-3: Logistics Analyst Planner
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…actions in support of the projects/programs between AFSBn-CHS, Program Manager, Deputy Program Manager, Operations Manager, and Operations…
Added 53 mins ago
EG
Product Manager, Team Digital Products
Eliassen Group
Columbia, SC
- $50 to $55 USD / hour
Eliassen Group is a strategic consulting firm that helps organizations reach further and achieve more through our technology, business advisory, and life sciences solutions. For nearly 40…
Added 53 mins ago
Clinical Trial Management Support, Late Phase Metabolic Studies
Eliassen Group
Columbia, SC
Our client is seeking a Clinical Trial Manager to support two Phase III global studies in the MASH therapeutic area. The role will provide hands-on operational support for monitoring visit…
Added 55 mins ago
Engineer-In-Charge
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1. A baccalaureate degree from an accredited college or university in engineering, engineering technology, architecture, landscape architecture, architectural technology, construction,…
Added 57 mins ago
Oracle Transformation Program Manager
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Added 1 hour ago
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Boise, ID
- $87,000 to $254,000 USD / year
Micron Technology is a world leader in innovating memory and storage solutions that accelerate the transformation of information into intelligence, inspiring the world to learn, communicate…
Added 1 hour ago
Clinical Trial Management Support, Late Phase Metabolic Studies
Eliassen Group
Boise, ID
Our client is seeking a Clinical Trial Manager to support two Phase III global studies in the MASH therapeutic area. The role will provide hands-on operational support for monitoring visit…
Added 1 hour ago
EG
Product Manager, Team Digital Products
Eliassen Group
Boise, ID
- $50 to $55 USD / hour
Eliassen Group is a strategic consulting firm that helps organizations reach further and achieve more through our technology, business advisory, and life sciences solutions. For nearly 40…
Added 1 hour ago
Deputy Operations Manager
Leidos
Mafb Gun Annx, AL
Leidos is looking for an individual to work with the Operations Manager to support the U.S. Air Force Cloud One Architecture and Common Shared Services contract. This is an exciting…

Informatics Manager - Risk Adjustment

Remote, United States

$60,300.00 - $145,860.00 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.

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Job details

Pay: $60,300.00 - $145,860.00 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.
Apply by: Nov 9, 2026
Posting language: English
Posted: Nov 6, 2026

Original job description

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.

Job Description Summary

In this role, you will support the strategy, oversight, and valuation of vendors serving Medicare and Medicaid risk adjustment programs. The position evaluates vendor capabilities and performance, develops financial and return-on-investment analyses, and uses data to forecast revenue impact and identify risks and opportunities. It partners with business, technical, and regional stakeholders to translate risk adjustment requirements into effective vendor solutions, governance routines, and performance measures. The role also presents valuation findings, recommendations, and escalation items to senior leaders while promoting compliant, accountable, and analytically driven decision-making.

What you will do

Support vendor management teams and regional stakeholders with vendor strategy, selection, contracting, onboarding, performance management, and issue resolution for Medicare and Medicaid risk adjustment programs
Develop and maintain vendor valuation methodologies that quantify financial opportunity, return on investment, operational impact, and performance against contractual commitments
Evaluate vendor capabilities, data quality, coding accuracy, submission readiness, scalability, and alignment with enterprise risk adjustment objectives
Establish scorecards, key performance indicators, and governance routines to monitor vendor performance
Use technology and programing skillsets to oversee data, reporting, and analytics needed to assess risk adjustment performance, forecast revenue impact, reconcile results, and identify emerging opportunities or risks
Translate Medicare and Medicaid risk adjustment requirements into clear business, data, and technology specifications for internal teams and external vendors
Develop, maintain, and execute analytics and AI-enabled capabilities that improve vendor oversight, valuation accuracy, operational efficiency, and decision-making while maintaining accountability
Design and maintain documentation for vendor processes, data flows, and valuation models
Present vendor performance, valuation findings, recommendations, and escalation items to senior leaders and governance forums

Required Qualifications

3+ years of relevant experience in healthcare analytics, risk adjustment, vendor management, financial analysis, or an equivalent combination of experience
Working knowledge of Medicare Advantage, Medicare Part D, Medicaid, and state-specific risk adjustment programs
2+ years of experience with SQL and/or Python for data analysis, validation, reconciliation, and performance measurement
2+ years of experience with business intelligence reporting tools such as Amazon Quick, Tableau, or Power BI
Strong problem-solving, decision-making, planning, execution, collaboration, and stakeholder management skills

Preferred Qualifications

Experience with Medicare Advantage, Part D, Medicaid, or state risk adjustment models, data submissions, reconciliation, and revenue forecasting
Experience evaluating and managing risk adjustment vendor performance
Experience developing vendor valuations, financial forecasts, sensitivity analyses, and return-on-investment assessments
Experience with contract performance measures, procurement processes, vendor scorecards, and executive governance
Experience using governed analytics or AI-enabled capabilities to improve risk adjustment operations, valuation, or vendor oversight
Experience with cloud platforms such as Amazon Web Services (AWS) and Google Cloud Platform (GCP)
Experience working with Databricks to query data, develop analysis, and deploy dashboards

Education

Bachelor's degree preferred/specialized training/relevant professional qualification.

Anticipated Weekly Hours 40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $145,860.00 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.

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.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/09/2026

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

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