Risk Adjustment Coding Jobs in Montana

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

This position collaborates with departments and stakeholders across Meritain Health to plan, coordinate, and manage resources; support operational improvement initiatives and strategic projects; lead corrective action efforts; develop and review policies and procedures; reinforce accountability by helping ensure team deliverables, priorities, and follow-up activities are completed; and provide oversight of workflow, coordination, and execution across assigned areas of responsibility.

This role does not have direct reports and is focused on workflow oversight, cross-functional coordination, and execution.

The position may be remote or hybrid anywhere in the US depending on candidate location and commute to a hub location.

Required Qualifications

• 5+ years’ experience in a regulated environment, preferably in healthcare plan operations, compliance, or a related function
• Healthcare industry experience, TPA preferred
• Familiarity with compliance, corrective action, or risk-related processes
• Strong project coordination, organization, and follow-through skills
• Ability to manage multiple priorities and support strategic and operational initiatives
• Experience developing, reviewing, and maintaining policies and procedures
• Strong communication and collaboration skills across teams and stakeholders
• Ability to monitor deliverables, reinforce accountability, and support corrective action efforts
• Proficiency in Excel and other standard business tools
• Strong time management and prioritization skills
• Strong attention to detail and accuracy
• Ability to work independently and manage competing deadlines

Education

Bachelor's degree preferred/specialized training/relevant professional qualification.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $159,120.00

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.

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: 07/01/2026

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