At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary
As the Manager, Risk Adjustment will be responsible for leading Risk Adjustment for the Southeast Region, specifically in GA/Gulf States. This role will have responsibility in maintaining and improving risk adjustment accuracy by partnering closely with leadership from our key value-based providers. The role drives, in collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record collection, provider collaboration and data sharing, general coding education and related activities, as well as other activities as assigned. This position requires someone who can think strategically and act independently when working with providers. This position reports to the Lead Director of Risk Adjustment for the Southeast Region.Required Qualifications
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• Certification in coding (CPC, CRC, RHIA, etc. through AAPC or AHIMA)
• 5+ years of experience with one or more of the following methodologies: risk adjustment, clinical quality, or healthcare quality improvement
• Experience working in provider offices, accountable care organizations and / or value-based provider relations
• Strong time management, project management, change management, organizational, research, analytical, negotiation, communication, and interpersonal skills
• Strong proficiency in Microsoft Office applications (Outlook, Word, Excel, Power Point, etc.), including experience running web based meetings.
• Must be able to manage ambiguity and work in fast paced environment
• Excellent stakeholder relationship management skills
Preferred Qualifications
• 7+ years of risk adjustment, clinical quality, or healthcare quality improvement experience
Education
Bachelor's degree or equivalent professional work experience.Pay Range
The typical pay range for this role is:$54,300.00 - $119,340.00
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. This position also includes an award target in the company's equity award program.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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.