Senior Manager, Risk Adjustment Vendor Management
About The Position
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. Reporting to Revenue Integrity Lead Director of Provider Support and Enablement, the Sr. Manager of Program Management will be responsible for Vendor Management. Responsibilities will include but not limited to Procurement processes, Quality Oversite, Performance Reporting, and will work closely with subject matter experts across all lines of business to establish and champion local market culture committed to revenue integrity excellence. This position will interact directly with internal colleagues and as appropriate external provider & vendor partners. Analysis will focus on member and provider specific intervention opportunity and effectiveness around complete and accurate diagnosis capture and reporting.
Requirements
- 7+ years experience with a combination of the following methodologies: management consulting, project consulting, change management, business process consulting, project management and/or strategic business planning
- 3+ years of Risk Adjustment experience or working with Risk Adjustment Vendors
- Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously
- Experience with enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity
Nice To Haves
- People leadership experience
Responsibilities
- Vendor Management
- Procurement processes
- Quality Oversight
- Performance Reporting
- Establish and champion local market culture committed to revenue integrity excellence
- Interact directly with internal colleagues and external provider & vendor partners
- Analysis of member and provider specific intervention opportunity and effectiveness around complete and accurate diagnosis capture and reporting
Benefits
- medical coverage
- dental coverage
- vision coverage
- paid time off
- retirement savings options
- wellness programs
- CVS Health bonus
- commission
- short-term incentive program
- equity award program
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What This Job Offers
Job Type
Full-time
Career Level
Senior
