1

Radv Jobs (NOW HIRING)

Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter data integrity, this role drives continuous improvement of internal controls, proactively surfaces ...

Drawing on deep expertise in Medicare Advantage risk adjustment, RADV compliance, and encounter data integrity, this role drives continuous improvement of internal controls, proactively surfaces ...

This role will be occupied by a certified risk adjustment coder to support first and second pass auditing for CMS RADV's. Required Skills * MS Suite * CPC certified * CRC certified * 5+ years of risk ...

Supports risk adjustment data validation (RADV), medical record retrieval, vendor coding audits, provider engagement, & all risk adjustment ICD-10-CM coding-related activities. * Conducts annual risk ...

Medical Billing Coder

Wellesley, MA · Remote

$20.50 - $27.50/hr

... RADV) Audits. This role will also assist with building the medical chart review program at Client's Duties and Responsibilities * Utilize comprehensive knowledge American Hospital Association (AHA ...

Showing results 21-40

Radv information

What is a radv?

Radv does not appear to be a recognized job title or profession. It is possible that 'Radv' is a typo, abbreviation, or a specific term used within a particular company or industry. If you have more context or details about the role or responsibilities associated with 'Radv', please provide them so I can assist you further.

What are the key skills and qualifications needed to thrive as a radiologic technologist?

To thrive as a Radiologic Technologist, you need a solid background in anatomy, patient care, and radiographic techniques, typically supported by an associate's degree in radiologic technology and ARRT certification. Familiarity with imaging equipment, PACS, and radiation safety protocols is essential. Attention to detail, strong communication, and compassion help provide quality patient experiences and ensure accurate imaging. These competencies are crucial for producing reliable diagnostic images, maintaining patient safety, and supporting effective healthcare delivery.

What are some common challenges faced by radiologic technologists and how can they be managed on the job?

Radiologic Technologists often encounter challenges such as managing patient anxiety, adapting to rapidly changing technology, and maintaining high safety standards to minimize radiation exposure. Building strong communication skills can help ease patient concerns, while ongoing professional development ensures you stay current with advancements in imaging equipment. Additionally, collaborating closely with radiologists and other healthcare professionals is essential for accurate imaging and patient care. Emphasizing teamwork and continuous learning will help you navigate these challenges effectively.

What is the difference between Radv vs Radiologic Technologist?

AspectRadvRadiologic Technologist
CredentialsCertification in radiography, often specific to radiologyCertification in radiography or radiologic technology
Work EnvironmentHospitals, clinics, imaging centersHospitals, outpatient clinics, diagnostic labs
Employer & Industry UsagePrimarily in radiology departmentsBroader healthcare settings including radiology

Radv and Radiologic Technologist roles share similar credentials and work environments, often overlapping in hospitals and clinics. However, Radv may focus more specifically on radiology procedures, while Radiologic Technologists have a broader scope including various imaging techniques. Both are essential in diagnostic healthcare, with Radv often specializing in radiography.

More about Radv jobs

What cities are hiring for Radv jobs?

Cities with the most Radv job openings:

What states have the most Radv jobs?

States with the most job openings for Radv jobs include:

Infographic showing various Radv job openings in the United States as of August 2026, with employment types broken down into 2% As Needed, 92% Full Time, and 6% Contract. Highlights an 60% In-person, 2% Hybrid, and 38% Remote job distribution.

Senior Manager, Corporate Compliance - Risk Adjustment

CVS Health

Woonsocket, RI • On-site

$75K - $165K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 14 days ago


Key responsibilities

  • Oversee and maintain compliance with CMS regulations related to Medicare Advantage Risk Adjustment, HCCs, encounter data submission, documentation, and coding.

  • Partner with various teams to ensure organizational adherence to CMS requirements and develop corrective action plans for compliance issues.

  • Conduct compliance risk assessments related to coding, documentation, and encounter data submissions.


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,364 frontline employees who took The Breakroom Quiz

92nd of 113 rated pharmacies


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 ourselvesaccountable 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

As a Senior Manager, Medicare Compliance - Risk Adjustment, you are responsible for overseeing and maintaining compliance with CMS regulations related to Medicare Advantage Risk Adjustment, Hierarchical Condition Categories (HCCs), encounter data submission, documentation and coding compliance, and related regulatory requirements. This position serves as a key compliance leader and subject matter expert, partnering with Risk Adjustment Operations, Coding, Provider Education, Clinical Documentation Improvement (CDI), Internal Audit, Legal, and Government Affairs teams to ensure organizational adherence to CMS requirements.

The ideal candidate possesses extensive experience in Medicare Advantage compliance and a deep understanding of CMS Risk Adjustment methodologies, diagnosis coding requirements, medical record documentation standards, RADV audits, and evolving regulatory guidance.

Key Responsibilities

  • Lead the Medicare Advantage Risk Adjustment compliance program.

  • Monitor and interpret CMS regulations, HPMS memoranda, Final Rules, Medicare Managed Care Manual guidance, RADV requirements, and OIG enforcement activities.

  • Assess operational processes for compliance risks related to risk adjustment activities.

  • Develop and implement corrective action plans for identified compliance issues.

  • Conduct compliance risk assessments related to coding, documentation, and encounter data submissions.


Required Qualifications

  • Minimum 7 years of experience in Medicare Advantage, Risk Adjustment, Coding Compliance, Audit, or Regulatory Compliance

  • Minimum 5 years in a leadership role

  • One or more of the following certifications: CPMA (Certified Professional Medical Auditor), CRC (Certified Risk Adjustment Coder), CPC (Certified Professional Coder), CCS (Certified Coding Specialist)

  • Willingness to travel up to 10% (including by plane)


Preferred Qualifications

  • Health Information Management (RHIA/RHIT)

  • Nursing - Strong understanding of clinical documentation and medical record review

  • Certified Risk Adjustment Coder (CRC) with compliance experience

  • Provider coding audit/compliance leadership experience

  • Medicare Advantage compliance leadership experience supporting RADV, HCC validation, and CMS audits


Education

Bachelor's degree in Health Information Management, Healthcare Administration, Nursing, Public Health, Business Administration, Healthcare Compliance, or a related healthcare field required; equivalent years of work experience may substitue.

Pay Range

The typical pay range for this role is:

$75,400.00 - $165,954.00


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 fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing 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: 08/12/2026

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


What CVS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom