Risk Adjustment Outreach Manager

CVS Health

Risk Adjustment Outreach Manager responsible for healthcare risk adjustment program efficiency. Managing projects, collaborating with stakeholders, and analyzing performance data.

Posted 5/15/2026full-timeRemote • Arizona, Mississippi, Ohio, Texas • 🇺🇸 United StatesMid-LevelSenior💰 $54,300 - $145,860 per yearWebsite

About the role

Key responsibilities & impact

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.
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

What you’ll need

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.

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

data analysisproject managementchart retrievalvendor managementdata extractionMicrosoft Excelpivot tablesVLOOKUPreporting

Soft Skills

analytical skillsproblem-solvingcommunication skillsrelationship buildingcollaborationindependenceprioritization