Know ATS Score
CV/Résumé Score
  • Expertini Resume Scoring: Our Semantic Matching Algorithm evaluates your CV/Résumé before you apply for this job role: Sr. Manager Business Consulting Risk Adjustment.
United States Jobs Expertini

Urgent! Sr. Manager Business Consulting - Risk Adjustment Job Opening In USA, USA – Now Hiring CVS Health

Sr. Manager Business Consulting Risk Adjustment



Job description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.

And we do it all with heart, each and every day.

Position Summary

The Purpose of the Sr. Manager, Business Consultation job is to drive prospective program volume and quality of performance.

Revenue Integrity Prospective Programs drives revenue for the Enterprise.

The colleague in this role will work independently to manage vendor performance to achieve volume and quality goals each year while also meeting the needs of Revenue Integrity’s internal market and product customers.

This role includes cross-departmental project planning to implement new programs and/or vendors or new services within the existing program and vendors.


Required Qualifications:

  • Expertise in Risk Adjustment payment models for MA, ACA and Medicaid.
  • Expertise in Risk Adjustment timelines and requirements
  • Must be able to sit for long periods of time performing computer work.
  •  Some travel may be required to meet in person with internal Aetna customers or external vendors.

  • Colleague must have extensive experience with Microsoft Office -Excel, Word, PowerPoint, Teams, SharePoint
  • Expert communication skills both written and verbal.
  • Ability to concisely explain complex business issues and support recommendations to Executive Leadership
  • Ability to evaluate data and translate information into action or project plans.
  • Ability to influence others in diverse departments and markets to support Prospective Programs.
  • Ability to pivot and be flexible in a fast-paced changing regulatory environment
  • Work full time hours between normal business times 7am-5pm and occasionally later hours to accommodate vendors and market customers in other time zones.



  • Preferred Qualifications

  • Prefer Colleague has some experience in query tools such as SQL, SAS, Python, R+
  • Experience with Project Management tools including Microsoft Project or Asana.
  • Certified Coding Certification such as CPC-P, CRC or AHIMA is preferred.
  • Project Management or Six Sigma certification is preferred

  • Education

    Bachelor Degree or equivalent experience required

    Other Certification(s): CPC-P; PAHM, CPM - Preferred

    Pay Range

    The typical pay range for this role is:

    $67,900.00 - $149,328.00


    This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.

    The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

    This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

    This position also includes an award target in the company’s equity award program.


     

    Our people fuel our future.

    Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

    Great benefits for great people

    We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.

    In addition to our competitive wages, our great benefits include:

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

  • For more information, visit 

    We anticipate the application window for this opening will close on: 10/18/2025

    Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.


    Required Skill Profession

    Business Operations Specialists



    Your Complete Job Search Toolkit

    ✨ Smart • Intelligent • Private • Secure

    Start Using Our Tools

    Join thousands of professionals who've advanced their careers with our platform

    Rate or Report This Job
    If you feel this job is inaccurate or spam kindly report to us using below form.
    Please Note: This is NOT a job application form.


      Unlock Your Sr Manager Potential: Insight & Career Growth Guide


    • Real-time Sr Manager Jobs Trends in United States, United States (Graphical Representation)

      Explore profound insights with Expertini's real-time, in-depth analysis, showcased through the graph below. This graph displays the job market trends for Sr Manager in United States, United States using a bar chart to represent the number of jobs available and a trend line to illustrate the trend over time. Specifically, the graph shows 456398 jobs in United States and 4273 jobs in United States. This comprehensive analysis highlights market share and opportunities for professionals in Sr Manager roles. These dynamic trends provide a better understanding of the job market landscape in these regions.

    • Are You Looking for Sr. Manager Business Consulting Risk Adjustment Job?

      Great news! is currently hiring and seeking a Sr. Manager Business Consulting Risk Adjustment to join their team. Feel free to download the job details.

      Wait no longer! Are you also interested in exploring similar jobs? Search now: .

    • The Work Culture

      An organization's rules and standards set how people should be treated in the office and how different situations should be handled. The work culture at CVS Health adheres to the cultural norms as outlined by Expertini.

      The fundamental ethical values are:
      • 1. Independence
      • 2. Loyalty
      • 3. Impartiality
      • 4. Integrity
      • 5. Accountability
      • 6. Respect for human rights
      • 7. Obeying United States laws and regulations
    • What Is the Average Salary Range for Sr. Manager Business Consulting Risk Adjustment Positions?

      The average salary range for a varies, but the pay scale is rated "Standard" in United States. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively. We advise reading the full job specification before proceeding with the application to understand the salary package.

    • What Are the Key Qualifications for Sr. Manager Business Consulting Risk Adjustment?

      Key qualifications for Sr. Manager Business Consulting Risk Adjustment typically include Business Operations Specialists and a list of qualifications and expertise as mentioned in the job specification. Be sure to check the specific job listing for detailed requirements and qualifications.

    • How Can I Improve My Chances of Getting Hired for Sr. Manager Business Consulting Risk Adjustment?

      To improve your chances of getting hired for Sr. Manager Business Consulting Risk Adjustment, consider enhancing your skills. Check your CV/Résumé Score with our free Tool. We have an in-built Resume Scoring tool that gives you the matching score for each job based on your CV/Résumé once it is uploaded. This can help you align your CV/Résumé according to the job requirements and enhance your skills if needed.

    • Interview Tips for Sr. Manager Business Consulting Risk Adjustment Job Success
      CVS Health interview tips for Sr. Manager Business Consulting   Risk Adjustment

      Here are some tips to help you prepare for and ace your job interview:

      Before the Interview:
      • Research: Learn about the CVS Health's mission, values, products, and the specific job requirements and get further information about
      • Other Openings
      • Practice: Prepare answers to common interview questions and rehearse using the STAR method (Situation, Task, Action, Result) to showcase your skills and experiences.
      • Dress Professionally: Choose attire appropriate for the company culture.
      • Prepare Questions: Show your interest by having thoughtful questions for the interviewer.
      • Plan Your Commute: Allow ample time to arrive on time and avoid feeling rushed.
      During the Interview:
      • Be Punctual: Arrive on time to demonstrate professionalism and respect.
      • Make a Great First Impression: Greet the interviewer with a handshake, smile, and eye contact.
      • Confidence and Enthusiasm: Project a positive attitude and show your genuine interest in the opportunity.
      • Answer Thoughtfully: Listen carefully, take a moment to formulate clear and concise responses. Highlight relevant skills and experiences using the STAR method.
      • Ask Prepared Questions: Demonstrate curiosity and engagement with the role and company.
      • Follow Up: Send a thank-you email to the interviewer within 24 hours.
      Additional Tips:
      • Be Yourself: Let your personality shine through while maintaining professionalism.
      • Be Honest: Don't exaggerate your skills or experience.
      • Be Positive: Focus on your strengths and accomplishments.
      • Body Language: Maintain good posture, avoid fidgeting, and make eye contact.
      • Turn Off Phone: Avoid distractions during the interview.
      Final Thought:

      To prepare for your Sr. Manager Business Consulting Risk Adjustment interview at CVS Health, research the company, understand the job requirements, and practice common interview questions.

      Highlight your leadership skills, achievements, and strategic thinking abilities. Be prepared to discuss your experience with HR, including your approach to meeting targets as a team player. Additionally, review the CVS Health's products or services and be prepared to discuss how you can contribute to their success.

      By following these tips, you can increase your chances of making a positive impression and landing the job!

    • How to Set Up Job Alerts for Sr. Manager Business Consulting Risk Adjustment Positions

      Setting up job alerts for Sr. Manager Business Consulting Risk Adjustment is easy with United States Jobs Expertini. Simply visit our job alerts page here, enter your preferred job title and location, and choose how often you want to receive notifications. You'll get the latest job openings sent directly to your email for FREE!