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Product Marketing Manager, Copilot Studio
Microsoft
WA · Redmond, WA · Redmond
- $86,100 to $187,400 USD / year
If you love turning powerful technology into stories people remember, now is your chance to join the Copilot Studio Product Marketing team. Copilot Studio is where organizations build apps,…
Added just now
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Regional Training Manager
Microsoft
United States
- $142,800 to $304,200 USD / year
…Operations + Innovation (CO+I) Learning team as a Regional Training…
Added 1 min ago
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Technical Program Manager
Microsoft
WA · Redmond, WA · Redmond
- $119,800 to $261,000 USD / year
We are seeking a Senior Technical Program Manager, AI Inferencing Automation & Tooling to transform how we plan and deploy AI inferencing capacity at global scale. You will own our…
Added 1 min ago
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Global Partner Development Management -Telco
Microsoft
WA · Redmond, WA · Seattle, WA · Redmond · Seattle
- $133,000 to $239,800 USD / year
As a Global Partner Development Manager (GPDM), you are accountable for the 360 degree partner performance and Cloud Solution Provider (CSP) revenue in SME&C. You will leverage your…
Added 6 mins ago
Day Crew Supervisor
IKO
Ironton, MO
…facility. This role will report directly to the Production…
Added 6 mins ago
GIS Field Technician (Travel Role)
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Maryville, MO
Professional Development: Customized career development plan for licensing and certifications, Project Manager Business Academy, CAD Training Program, Individual Development Plans/Career…
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Project Manager 2
BioFire Diagnostics, LLC.
Hazelwood, MO
Bachelor’s degree: Engineering, Technology, Life Sciences, Business, Project Management.
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Survey Crew Chief/Survey Party Chief
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Chesterfield, MO
Professional Development: Customized career development plan for licensing and certifications, Project Manager Business Academy, CAD Training Program, Individual Development Plans/Career…
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Cardiac and Pulmonary Rehab RN
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Independence, MO
…through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that…
Added 6 mins ago
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Assistant Vice President of Real Estate - Market Execution
Ascension Health
Saint Louis, MO
- $167,851.85 to $226,600 USD / year
Incentive Programs: This position is eligible for participation in the annual bonus program.
Added 6 mins ago
Manager, Corporate Development
Ford Motor Company
Jefferson City, MO
…highly analytical and commercially minded Corporate Development Manager to help evaluate, structure, and execute transactions globally across Ford's businesses. This role offers direct…
Added 6 mins ago
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Technical Manager - Healthcare Claims Systems
Cognizant
Jefferson City, MO
- $71,000 to $112,500 USD / year
As a Technical Manager, you will own the end-to-end health of releases and vendor delivery for healthcare claims systems, serving as the bridge between business stakeholders, internal…
Added 6 mins ago
VP – Software Delivery
Maximus
Jefferson City, MO
Work directly with the Program Manager and Technology Delivery Leader to document how scope changes impact contractual delivery; ensure clear and concise communications between all impacted…
Added 6 mins ago
Data Architect- Aerospace, Defense, and Mobility Sector - Senior Manager- Consulting - Open Location
EY
Jefferson City, MO · Kansas City, MO · St. Louis, MO
To qualify for the role, you must have:
Added 6 mins ago
Senior Regional Sales Director, Pelvic Health - Central
Medtronic
Kansas City, MO
Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work…
Added 6 mins ago
Manager Knowledge Based Engineering - Supply Chain
Deloitte
St. Louis, MO · Kansas City, MO
…Our diverse talent energizes clients' business functions and technology to maximize value in Supply Chain enhancing their ability to fulfill their growth and efficiency ambitions. Imagine…
Added 10 mins ago
Program Manager of Project Controls Administration
Jobgether
Remote, United States
…all applications and next steps. Our partner is looking for a Program Manager of Project Controls Administration based in the United…
Added 10 mins ago
Product Marketing Manager
Jobgether
Remote, United States
We are looking for an experienced Product Marketing Manager to shape product positioning, messaging, and go-to-market strategies within a growing B2B SaaS environment. In this role, you…
Added 10 mins ago
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Employer Client Account Manager
Jobgether
Remote, United States
- $145,000 to $165,000 USD / year
…steps. Our partner is looking for an Employer Client Account Manager based in the United…
Added 18 mins ago
Telecommunications Manager (Cyber)
Defense Information Systems Agency
Camp H.M. Smith Marine Corp Base, HI
Education above the high school level must have been completed in an U.S · Education To be creditable, education must have been obtained in an accredited college or university
Added 19 mins ago
Assistant Nurse Manager - Transitional Care Unit
Kaiser Permanente
Honolulu, HI
…supporting large and/or complex work streams with significant program impact; supervising data collection to inform the development and implementation of plans; coordinating and monitoring…
Added 19 mins ago
Manager, Corporate Development
Ford Motor Company
Honolulu, HI
…highly analytical and commercially minded Corporate Development Manager to help evaluate, structure, and execute transactions globally across Ford's businesses. This role offers direct…
Added 19 mins ago
Data Architect- Aerospace, Defense, and Mobility Sector - Senior Manager- Consulting - Open Location
EY
Honolulu, HI
To qualify for the role, you must have:
Added 19 mins ago
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Technical Manager - Healthcare Claims Systems
Cognizant
Honolulu, HI
- $71,000 to $112,500 USD / year
As a Technical Manager, you will own the end-to-end health of releases and vendor delivery for healthcare claims systems, serving as the bridge between business stakeholders, internal…
Added 19 mins ago
VP – Software Delivery
Maximus
Honolulu, HI
Work directly with the Program Manager and Technology Delivery Leader to document how scope changes impact contractual delivery; ensure clear and concise communications between all impacted…

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: 11/14/2026

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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Work requirements

Jobs in the United States