Senior Manager Revenue Integrity, Provider Performance (Northeast Territory)

Job description

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. **Ideal candidate will sit in the Northeast Region** **This is an individual contributor** The Senior Manager, Revenue Integrity, Provider Optimization & Enablement is responsible for executing a comprehensive risk adjustment strategy that supports health care systems and physicians participating in value-based care contracts. Develops a comprehensive risk adjustment strategy aligned with organizational goals and value-based contract requirements to providers. Implements market-specific risk adjustment initiatives to maximize performance and outcomes with assigned physician groups. Drives execution of key risk adjustment deliverables, ensuring alignment with quality, compliance, and financial objectives. Monitor performance metrics and trends rela...