Jobs in the United States

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Added 8 mins ago
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Group Director, Product Management – Global Fraud, Identity & Account Protection
Walmart
San Bruno, CA
- $254,000 to $481,000 USD / year
This is the most senior people leadership role in Product Management below Vice President, responsible for governing a complex portfolio of products that protect customers, members,…
Added 9 mins ago
Senior Product Manager, YouTube Creator Monetization Quality
Google
San Bruno, CA
…product leaders who can build at an unprecedented scale. As a Senior Product Manager on the YouTube Creator Monetization Quality team, you will be responsible for driving, protecting, and…
Added 9 mins ago
Head Universal Banker, Rancho Cucamonga Branch
Citigroup
Rancho Cucamonga, CA
Actively promoting and participating in branch incentive program(s) by promoting and participating in a sales and service programs consistent with Citi’s business plan goals
Added 9 mins ago
Senior Sales Training Consultant - Idira
Palo Alto Networks
San Luis Obispo, CA
As a Senior Sales Training Consultant for Idira , you will lead the charge in equipping our global field sales organizations with the knowledge, skills, and strategic playbooks required to…
Added 10 mins ago
Vice President of Paid Media
Buyerlink
Walnut Creek, CA
7+ years in paid social performance marketing, and are still hands-on in Meta Ads Manager today (i.e. personally building, launching, and optimizing campaigns in Meta)
Added 10 mins ago
Director of Centralized Catering Operations
Compass Group, North America
Mountain View, CA
The Director of Centralized Catering Operations is an essential senior leadership role reporting to the VP of Catering. This role is established to oversee, stabilize, and elevate our…
Added 10 mins ago
Service Marketing Manager – MDP/ALD (E5)
Applied Materials
Santa Clara, CA
Drive program and business outcomes utilizing applied and industry best practices/processes (CRM, SF, ERP etc…)
Added 10 mins ago
Senior Technical Program Manager , AWS Organizations
Amazon
Santa Clara, CA
We are looking for an experienced Technical Program Manager to tackle complex and ambiguous problems that span numerous systems and organizations across AMG's portfolio. You will be a…
Added 10 mins ago
Data Center Facility Operations Area Director
Meta
Menlo Park, CA · Sacramento, CA
Meta is seeking a Senior Director to lead Data Center Facility Operations across a multi-area region, including operating campuses and future sites that are yet to be announced or built.…
Added 10 mins ago
Senior Global Creator Programs Manager
Amazon
San Francisco, CA · Culver City, CA · Irvine, CA
The Sr. Global Creator Programs Manager owns the end-to-end execution of Twitch's global scaled creator activation program, a structured system that recruits, develops, and retains creators…
Added 10 mins ago
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Senior Regional Facilities Manager
CBRE
Daly City, CA · San Francisco, CA · Emeryville, CA · San Bruno, CA · Alameda, CA · Oakland, CA · Berkeley, CA · South San Francisco, CA · San Mateo, CA
- $165,000 to $175,000 USD / year
As a Sr. Regional Facilities Manager, you will serve as atrusted partner to client leadership, including senior executives based in SanFrancisco. Success in this role requires a…
Added 10 mins ago
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Principal Technical Product Manager, Data & Platform
GE Aerospace
San Ramon, CA · San Francisco, CA
- $152,000 to $222,000 USD / year
…Defense & Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir Foundry environment and leads delivery across the technical teams that build…
Added 10 mins ago
Sr. Program Manager, Accessibility
Amazon
Irvine, CA · San Francisco, CA · Culver City, CA
As the Senior Program Manager, Accessibility at Twitch, you will have a broad impact across all of Twitch and our Community. Reporting into the VP of UX, you will join our Design team where…
Added 11 mins ago
Program Manager | Active Secret clearance
General Dynamics Information Technology
San Diego, CA
As a Program Manager , the work you’ll do at GDIT will be impactful to the mission of our Technical + Training Support programs:
Added 46 mins ago
Manager, Talent & Organizational Development
Chemours
Wilmington, DE
In this hands-on role, you will turn Chemours’ talent strategies into well-executed programs across performance management, talent reviews, succession planning, leadership development,…
Added 57 mins ago
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(USA) Senior Manager, Finance
Sam's Club
BENTONVILLE, AR
- $90,000 to $180,000 USD / year
Live Better U is a company paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to…
Added 57 mins ago
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(USA) Principal, Product Manager
Walmart
SUNNYVALE, CA
- $143,000 to $286,000 USD / year
Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to…
Added 58 mins ago
Senior Manager, Security Engineering
MstarInc Morningstar Inc. Legal Entity
United States
This on-site role is based in Chicago, IL. It may be filled at the Manager or Senior Manager level, depending on your experience and prior leadership scope. You’ll participate in an…
Added 1 hour ago
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Senior Manager, Integrated Insights & Strategy, Brand Strategy
Pfizer
New York City, NY
- $124,400 to $207,400 USD / year
Pfizer's Specialty Care Integrated Insights & Strategy (IIS) team is seeking a Senior Manager, Integrated Insights & Strategy who both derives insight and shapes strategy for a priority…
Added 1 hour ago
Director Project Controls (B&T)
MTA
New York, NY
…oversight and management of the MTA’s $6 8.4 billion Capital Program, C&D ensures the efficient delivery of critical infrastructure projects that support the region’s vast transportation…
Added 1 hour ago
Senior Manager of Planning
MTA
New York, NY
…environmental reviews, developing and analyzing strategies and capital program projects, collaborating with the region’s Metropolitan Planning Organization on long-range transportation…
Added 1 hour ago
Senior Engineer (Design Management)
Port Authority of New York and New Jersey
New York, NY
Reporting to the Senior Design Manager for a given project portfolio and working closely with the Design Program Manager and Project Principal, the Senior Engineer is responsible to lead,…
Added 1 hour ago
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Manager, Enterprise PMO
Alaska Airlines
SeaTac, WA
- $120,400 to $180,600 USD / year
The Manager, Enterprise PMO executes the EPMO strategy and delivers a portfolio of strategic, complex initiatives. This role ensures projects are delivered on time, with high quality and…
Added 1 hour ago
Senior Technical Program Manager , AWS Organizations
Amazon
Seattle, WA
We are looking for an experienced Technical Program Manager to tackle complex and ambiguous problems that span numerous systems and organizations across AMG's portfolio. You will be a…
Added 1 hour ago
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Senior Product Safety & Quality Manager (Consumer Products)
Actalent
Seattle, WA
- $50 to $55 USD / hour
Job Title: Manager, Consumer ProductsJob Description

CVS Health

Informatics Manager - Risk Adjustment

New Albany, OH, United States

$60,300.00 - $145,860.00

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Job details

Pay: $60,300.00 - $145,860.00
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

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 (https://learn.bswift.com/cvshealth-mainland) .

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.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

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More about this job

Skills

Decision making
Vendor management
Onboarding
Performance management
Reporting
Documentation
Financial analysis
SQL
Python
Data analysis
Business intelligence
Tableau
Microsoft Power BI
Problem solving
Collaboration
Stakeholder management
Forecasting
Procurement
AWS
Google Cloud
Databricks

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