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Added 1 min ago
BH
Clinical Director
BEHAVIORAL HEALTH PRACTICE SERVICES LLC.
CHICAGO-N HALSTED, IL · CHICAGO-E ERIE, IL · CHICAGO-N AVONDALE, IL · CHICAGO-N DAMEN, IL · WESTERN SPRINGS, IL · OAK PARK, IL · HINSDALE, IL · CHICAGO-N SHERIDAN, IL · CHICAGO-N SOUTHPORT, IL
- $90,000 to $115,000 USD / year
The Clinical Director will provide oversight and support for psychotherapy clinicians, engaging through coaching and education of new and tenured clinicians and enhancing ongoing clinician…
Added 2 mins ago
Leasing Specialist
Harbor Group Management Company
Burien, WA
Valid driver’s license required (for operating golf carts if applicable)
Added 3 mins ago
RW
LCSW | Licensed Clinical Social Worker
Rehab Without Walls Neuro Rehabilitation
MANCHESTER, NH
- $40 to $46 USD / hour
CPR certification required
Added 3 mins ago
SH
Nursing Supervisor (RN Unit Manager)
Steel Health & Rehab Center
Defiance, OH
- $34 to $40 USD / hour
Must possess a current, unencumbered license to practice as a RN within the state in which you work · Must possess a current CPR certification
Added 3 mins ago
Infection Prevention Staff Development, IPSD (RN)
Majestic Care of Deming Park
Terre Haute, IN
Must have at least two years nursing experience with training in Infection Control; preferred
Added 4 mins ago
General Manager
Olympia Hospitality
Arvada, CO
Additional Support: From our Employee Assistance Program (EAP) to a sober support network, and our commitment to being a recovery-friendly workplace, we're here to help you thrive…
Added 6 mins ago
Manager, Asset Protection - Multi-Store
Macy's
Mesquite, TX
3-5 years of direct experience required
Added 6 mins ago
Manager, Sales and Customer Service
Macy's
Bethesda, MD
The Manager, Sales & Customer Service ensures that the very best of Macy's is always on display. They see the store through the customers' eyes, leading initiatives to increase shopper…
Added 6 mins ago
Manager, Sales and Customer Service
Macy's
Lone Tree, CO
The Manager, Sales & Customer Service ensures that the very best of Macy's is always on display. They see the store through the customers' eyes, leading initiatives to increase shopper…
Added 9 mins ago
Sr Sales Executive - MRD - Jacksonville
the Myriad Genetics Candidate
Remote, United States
Location: this is a field-based role; you must reside within the assigned territory
Added 10 mins ago
Retail Print Manager
The ODP Group
Washington, PA · PA
As a Retail Print Manager at Office Depot you will play a pivotal role in driving print sales and service growth within our high print volume store. Your enthusiasm and expertise in print…
Added 10 mins ago
Associate Analytics Manager
Molson Coors
Chicago, IL
In the role of Associate Analytics Manager working in Chicago, IL, you’ll work on projects that cross commercial and operational bounds and will be data oriented, but with the ultimate goal…
Added 11 mins ago
NURSING PROGRAM SPECIALIST - 64004343
MyFlorida
KEY WEST, FL
Coordinates and evaluates all FDOH-Monroe County School Health Program activities. Attends meetings with community partners.
Added 11 mins ago
Celebration Registered Nurse Employee Health Clinic Days Exempt
AdventHealth
Celebration, FL
…tracks bloodborne pathogen exposures and Tuberculin skin testing program for compliance per hospital policy. Assists in the organization of employee files, records, and pertinent…
Added 11 mins ago
SENIOR LICENSED PRACTICAL NURSE - 64032717
MyFlorida
ARCADIA, FL
…enviroment. The position is under the direct supervision of the Community Health Nursing Director. This senior Licensed Practical Nurse position functions as both a nurse and a medical case…
Added 11 mins ago
Social Worker Home Care
VITAS Healthcare
Dothan, AL
Many of our positions offer the opportunity to work day or night shifts, weekdays or weekends
Added 11 mins ago
Case Manager RN
HCA Healthcare
Sun City Center, FL
As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that…
Added 11 mins ago
Case Manager RN
HCA Healthcare
Sun City Center, FL
As a Case Manager, your role will be to support patients and families through every step of their care journey. You will coordinate services, connect resources, and develop care plans that…
Added 11 mins ago
Sr Manager, Partner Relationship Manager
CVS Health
Remote, United States
…helping to simplify health care one person, one family and one community at a…
Added 11 mins ago
FACILITIES SERVICES SPECIALIST - 64001846
MyFlorida
MILTON, FL
…purchasing commodities, equipment, and services necessary to support the efficient operation of SRCHD. This position includes performance of storeroom duties, purchasing cycle controls,…
Added 11 mins ago
Practice Manager III
HCA Healthcare
Plantation, FL
Maintains a good public relations program that serves the best interest of the practice and the community alike.
Added 12 mins ago
Cognitive Enhancement Advisor (CEA)
Maximus
Fort Walton Beach, FL
Candidates must possess an active U.S · Must possess a docto
Added 12 mins ago
MW
OR Nurse Educator - Operating Room, Full Time, Days-Sign on Bonus
Mary Washington Healthcare
United States
- Full-time
This position must demonstrate a commitment of quality service to our patients, community, and Associates, and must support the mission, vision, values and strategic initiatives of MWHC.
Added 12 mins ago
Medical Assistant 2, Lennar
University of Miami
Coral Gables, FL
Medical Assistant certificate of completion from a program or institute accredited by a regional or national accreditation agency, approved by the US Department of Education, or affiliated…
Added 12 mins ago
Assistant Nurse Manager Rehab
AdventHealth
Daytona Beach, FL
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind…

Closed listing

CVS Health

Informatics Manager - Risk Adjustment

Hartford, CT, United States

$60,300.00 - $145,860.00

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Pay: $60,300.00 - $145,860.00
Posting language: English
Posted: Nov 7, 2026

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Original job description

Archived listing. The details below describe a past opening.

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.

About employer

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