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Strategic Lead Director, Medicaid Risk Adjustment Analytics
Job in
Lehi, Utah County, Utah, 84043, USA
Listed on 2026-08-02
Listing for:
Hispanic Alliance for Career Enhancement
Full Time
position Listed on 2026-08-02
Job specializations:
-
Management
Healthcare Management
Job Description & How to Apply Below
CVS Health is seeking a Lead Director of Revenue Integrity Informatics (Medicaid) to lead the Medicaid risk adjustment analytics, reporting, and informatics function. This senior role drives strategy, data pipelines, and KPI development across markets and plans to ensure accurate revenue capture.
You will oversee predictive modeling, data validation, and reconciliation with state audits, while guiding a multidisciplinary team to deliver measurable outcomes and value-based improvements.
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