Data by YubHub
Vendor Management and Valuation Analyst
CVS Health
Sponsorship not confirmed
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About the job
We’re building a world of health around every individual , shaping a more connected, convenient and compassionate health experience. In this role, you will support the strategy, oversight, and valuation of vendors serving Medicare and Medicaid risk adjustment programs. Responsibilities Support vendor management teams and regional stakeholders with vendor strategy, selection, contracting, onboarding, performance management, and issue resolution for Medicare and Medicaid risk adjustment programs Develop and maintain vendor valuation methodologies that quantify financial opportunity, return on investment, operational impact, and performance against contractual commitments Evaluate vendor capabilities, data quality, coding accuracy, submission readiness, scalability, and alignment with enterprise risk adjustment objectives Establish scorecards, key performance indicators, and governance routines to monitor vendor performance Use technology and programing skillsets to oversee data, reporting, and analytics needed to assess risk adjustment performance, forecast revenue impact, reconcile results, and identify emerging opportunities or risks Translate Medicare and Medicaid risk adjustment requirements into clear business, data, and technology specifications for internal teams and external vendors Develop, maintain, and execute analytics and AI-enabled capabilities that improve vendor oversight, valuation accuracy, operational efficiency, and decision-making while maintaining accountability Design and maintain documentation for vendor processes, data flows, and valuation models Present vendor performance, valuation findings, recommendations, and escalation items to senior leaders and governance forums Requirements 3+ years of relevant experience in healthcare analytics, risk adjustment, vendor management, financial analysis, or an equivalent combination of experience Working knowledge of Medicare Advantage, Medicare Part D, Medicaid, and state-specific risk adjustment programs 2+ years of experience with SQL and/or Python for data analysis, validation, reconciliation, and performance measurement 2+ years of experience with business intelligence reporting tools such as Amazon Quick, Tableau, or Power BI Strong problem-solving, decision-making, planning, execution, collaboration, and stakeholder management skills Benefits Medical, dental, and vision coverage Paid time off Retirement savings options Wellness programs Other resources, based on eligibility Job Data by YubHub .
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