Top 20 Healthcare risk manager Jobs in Georgia

Healthcare Medicaid Risk Adjustment Analytics, Senior Manager Remote
CVS Health —Georgia
- $67,900 - $199,144 a year
- Full-time
- Remote
- Management
- Bachelor's degree
- Mentoring
- Health insurance
- Dental insurance
Associate Client Manager, Commercial Risk - Construction Practice
The Baldwin Group —Atlanta, GA
- Full-time
- Mid-level
- Office
- 3 years
Director of Risk Management
Grady Health System —Atlanta, GA
- Full-time
- RN License
- Hospital
- Bachelor's degree
- Paid holidays
- Disability insurance
Director of Performance Improvement / Risk
Ridgeview Institute Smyrna —Smyrna, GA
- $80,000 - $100,000 a year
- Full-time
- CPR Certification
- Nursing
- Addiction Medicine
- Free parking
- Paid holidays
Quick Apply
7d
Program Manager – Third Party Risk Management
Sentara Hospitals —Beach, GA
- $106,080.00 - $176,820.80 a year
- Overtime
- Remote
- HIPAA
- 3 years
- Bachelor's degree
- 403(b) matching
- Paid parental leave
Quick Apply
3d
Risk Manager
Advantage Behavioral Health Systems —Athens, GA
- $70,000 - $80,000 a year
- Full-time
- Management
- Doctoral degree
- RN License
Lead Director, Healthcare Medicaid Risk Adjustment Analytics
CVS Health —Georgia
- $100,000 - $231,540 a year
- Full-time
- Remote
- 3 years
- SQL
- Bachelor's degree
- Health insurance
- Dental insurance
Risk Management Coordinator
Northside Hospital Inc. —Cumming, GA
- Full-time
- Nursing
- Management
- RN License
13d
Corporate Risk Management Specialist
Jackson Healthcare —Alpharetta, GA
- Full-time
- Hybrid work
- Microsoft Excel
- 5 years
- Mid-level
1d
Lead Director, Medicare Advantage and Group ACA Risk Adjustment Informatics
CVS Health —Georgia
- $100,000 - $231,540 a year
- Full-time
- Remote
- Computer Science
- SQL
- Bachelor's degree
- Health insurance
- Dental insurance
7d
Lead Director, Risk Adjustment Performance Reporting and Insights
CVS Health —Georgia
- $100,000 - $231,540 a year
- Full-time
- Remote
- Computer Science
- Bachelor's degree
- Mentoring
- Health insurance
- Dental insurance
7d
Case Manager, High-Risk Monitoring (Houston County, GA)
Middle Flint Health & Wellness —Americus, GA
- Full-time
- 5 years
- Computer literacy
- Pass drug screening
- Loan forgiveness
Quick Apply
Senior Healthcare Broker- Risk Management
EPIC Brokers —Atlanta, GA
- $150,000 - $175,000 a year
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid parental leave
- Paid holidays
Quick Apply
Audit Manager Professional Practices, Governance
Truist Bank —Atlanta, GA
- $130,000 - $145,000 a year
- Full-time
- 6 years
- CPA
- Writing skills
- AD&D insurance
- Paid holidays
Executive Underwriter - Healthcare (Commercial P&C)
Amerisure Insurance —Lawrenceville, GA
- Full-time
- 5 years
- Office
- Analysis skills
- Profit sharing
- Health insurance
Senior Analyst, Actuarial
CVS Health —Georgia
- $64,890 - $158,620 a year
- Full-time
- Remote
- Mid-level
- 3 years
- SQL
- Health insurance
- Dental insurance
8d
Senior Manager/Associate Director, Regulatory CMC Consultant (REMOTE)
Kaztronix —United States
- Contract
- Remote
- 6 years
- Management
- Bachelor's degree
Quick Apply

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Program Manager – Third Party Risk Management
Sentara Hospitals —Columbus, OH
Communicate program requirements, risk findings, and remediation needs clearly to non-technical and technical stakeholders alike. Paid Time Off and Sick Leave.
$106,080.00 - $176,820.80 a year
Quick Apply
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healthcare risk manager jobs near georgia

Healthcare Medicaid Risk Adjustment Analytics, Senior Manager Remote

CVS Health -
Georgia

Apply Now

Job Details

Full-time
$67,900 - $199,144 a year

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Management
Coaching
Managing data teams
SAS language
Mentoring
Managing projects
Root cause analysis
Query management
Cross-functional communication

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

CVS Health has an exciting opportunity for a Senior Informatics Manager to join our dynamic Risk Adjustment Analytics team! In this role, you will lead and execute complex data analyses to drive health plan-level risk adjustment performance through data-driven insights and analytical leadership.

This position manages a small team (1-2 employees) responsible for designing and delivering advanced analytics, interpreting large healthcare datasets, and translating findings into actionable strategies that improve quality outcomes and financial performance. The role partners across finance, actuary, and analytics teams to support health plan and enterprise initiatives while ensuring alignment with state Medicaid and CMS regulatory requirements.

Evaluate health plan performance using advanced analytics to identify trends, gaps, and opportunities across Medicaid populations
Design and execute complex analyses leveraging medical and pharmacy claims, encounter, provider, and membership data
Translate analytical findings into clear, actionable insights to drive health plan strategies and decision-making
Develop and maintain scalable reporting, dashboards, and performance monitoring tools
Support development of data models, forecasting approaches, and performance measurement frameworks
Ensure data accuracy, integrity, and governance across reporting and analytical outputs
Identify and implement process improvements through automation and advanced analytics
Communicate complex findings effectively to both technical and non-technical stakeholders
Support compliance with CMS and state Medicaid requirements through accurate, timely reporting and analysis

Join this exciting opportunity to work directly with different teams across the organization and have a meaningful impact on our business!

Required Qualifications

8+ years of relevant professional experience in healthcare analytics, including working with claims and encounter data
2+ years of leadership experience managing, coaching, or mentoring team members
Experience with government-regulated healthcare programs (Medicaid, Medicare, and/or ACA)
Advanced technical skills in Google Cloud Platform (GCP)/Big Query, SQL, SAS, Python, or similar programming languages
Demonstrated experience working with large, complex healthcare datasets and performing root cause analysis
Proven ability to manage multiple projects and competing priorities in a fast-paced environment
Strong ability to translate technical analyses into actionable business insights
Excellent communication skills across technical and non-technical audiences

Preferred Qualifications

Experience with risk adjustment methodologies and performance analytics
Knowledge of CMS and state Medicaid data, reporting, and compliance requirements
Experience with data visualization tools (e.g., Tableau, Power BI)

Education

Bachelor's degree preferred or a combination of professional work experience and education.

Pay Range

The typical pay range for this role is:

$67,900.00 - $199,144.00

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/15/2026

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

Apply Now

Refine Your Search

healthcare risk manager jobs in georgia

Healthcare Medicaid Risk Adjustment Analytics, Senior Manager Remote

Associate Client Manager, Commercial Risk - Construction Practice

Director of Risk Management

Director of Performance Improvement / Risk

Program Manager – Third Party Risk Management

Risk Manager

Lead Director, Healthcare Medicaid Risk Adjustment Analytics

Risk Management Coordinator

Corporate Risk Management Specialist

Lead Director, Medicare Advantage and Group ACA Risk Adjustment Informatics

Lead Director, Risk Adjustment Performance Reporting and Insights

Case Manager, High-Risk Monitoring (Houston County, GA)

Senior Healthcare Broker- Risk Management

Audit Manager Professional Practices, Governance

Executive Underwriter - Healthcare (Commercial P&C)

Senior Analyst, Actuarial

Senior Manager/Associate Director, Regulatory CMC Consultant (REMOTE)

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