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Senior Director, Medicaid Risk Adjustment Analytics

Job in Saco, York County, Maine, 04072, USA
Listing for: Hispanic Alliance for Career Enhancement
Full Time position
Listed on 2026-08-02
Job specializations:
  • Management
    Healthcare Management
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 - Revenue Integrity Informatics (Medicaid) to provide strategic and operational leadership for Medicaid risk adjustment analytics, reporting, and informatics. This senior role will ensure accurate revenue capture and compliance across markets and plans.

The position leads a multidisciplinary team, drives predictive analytics, data pipelines, and validation processes, and partners with actuarial and finance to align scores with state payments.

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Position Requirements
10+ Years work experience
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