Risk Adjustment Outreach Manager
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Arizona • United States
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Salary
💰 $60,300 - $132,600 per year
About the role
- Manage assigned territory within the risk adjustment program from planning through completion, including leading cross-functional meetings, setting timelines, and tracking progress
- Ensure timely and accurate chart retrieval by managing processes, resolving barriers, and maintaining compliance
- Conduct outreach to providers to address retrieval challenges and negotiate fees when necessary
- Extract data from vendor portals and update designated spreadsheets, ensuring accuracy and timeliness
- Build and maintain vendor relationships, monitor performance and risks
- Analyze data to identify trends and develop actionable insights for program optimization
- Present findings to senior leadership and external stakeholders
- Track and report on key metrics to ensure retrieval targets and internal benchmarks are consistently achieved
- Partner with Market/Network teams and Provider Relations to align initiatives with organizational objectives
Requirements
- 5–7 years of professional experience, preferably in healthcare operations, risk adjustment, or related fields
- Advanced proficiency in Microsoft Excel (pivot tables, VLOOKUP, data analysis, reporting)
- Strong analytical, problem-solving, and project management skills
- Ability to work independently and manage priorities with minimal supervision
- Excellent verbal and written communication skills
- Proven ability to build relationships and collaborate across teams
- Experience managing complex territories and cross-functional projects
- Bachelor’s degree or an equivalent combination of education and experience will be considered
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
- Many other benefits depending on eligibility
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
data analysisproject managementchart retrievalvendor managementdata extractiontrend analysisreportingMicrosoft Excelpivot tablesVLOOKUP
Soft skills
analytical skillsproblem-solvingcommunication skillsrelationship buildingcollaborationindependenceprioritizationleadershipnegotiationorganizational skills