Executive Director, Value-Based Care Finance & Operations

CVS Health

Oklahoma

On-site

USD 132,000 - 303,000

Full time

3 days ago

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Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Retirement savings options

Job summary

CVS Health is seeking an Executive Director, Value-Based Care Financial Operations to lead financial operations, accrual governance, provider economics, and payment administration for our value-based care portfolio across Medicare, Commercial, and Specialty programs.

Lead reporting, settlements, forecasts, and risk analyses while partnering with Finance, Actuarial, and Network teams to drive scalable processes and accurate financial performance across VBC initiatives.

Qualifications

15+ years of progressive leadership experience in healthcare finance, provider economics, value-based care, managed care, actuarial support, or related disciplines.
5+ years leading managers and high-performing professional teams; 8+ years preferred.
Bachelor's degree in Finance, Accounting, Economics, Business Administration, Healthcare Administration, Analytics, Actuarial Science, or related field; MBA/MPH preferred.

Responsibilities

Lead enterprise VBC financial reporting, accruals, forecasting, reconciliation, and performance measurement.
Oversee monthly/annual accrual processes and governance with cross-functional teams.
Provide executive oversight of provider settlements, incentive administration, and reconciliation workflows.
Analyze financial impact of risk adjustment programs and revenue integrity activities.
Own attribution governance for provider performance measurement and reporting.