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Senior Director, Medicaid Risk Adjustment Analytics

Job in Racine, Racine County, Wisconsin, 53404, USA
Listing for: Hispanic Alliance for Career Enhancement
Full Time position
Listed on 2026-08-02
Job specializations:
  • IT/Tech
Salary/Wage Range or Industry Benchmark: 100000 - 231540 USD Yearly USD 100000.00 231540.00 YEAR
Job Description & How to Apply Below

CVS Health is seeking a Lead Director for Revenue Integrity Informatics (Medicaid) to provide strategic and operational leadership for Medicaid risk adjustment analytics, reporting, and informatics. You will oversee data pipelines, predictive modeling, and reconciliation to ensure accurate revenue capture across markets.

The role requires 10+ years in healthcare analytics with leadership experience and expertise in CDPS/CRG/HCC models, along with strong SQL/SAS/Python skills and experience with

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Position Requirements
10+ Years work experience
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