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Executive Leader - Medicaid Risk Adjustment Analytics

ky • Posted 1 weeks ago
Onsite Full Time Healthcare

CVS Health is seeking a Lead Director for Revenue Integrity Informatics (Medicaid) to provide strategic direction and operational leadership for Medicaid risk adjustment analytics, reporting, and informatics. This senior role ensures complete, accurate revenue capture across markets and plans.

You will build scalable data pipelines, oversee risk-score reconciliation, and drive predictive analytics while coordinating with actuarial, finance, and clinical operations to ensure compliance and

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