Medicaid Value-Based Care Operations Specialist

ISHE; Boise, Northern (ID, KY); Hybrid; USD 54,000 - 159,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking an experienced individual contributor to design enterprise-wide solutions supporting Medicaid value-based operational strategies. This role partners with business owners to optimize strategic objectives, enabling profitable growth and improved organizational effectiveness.

Responsibilities include managing day-to-day consulting services, analyzing data for reports, guiding internal stakeholders, and delivering analyses to senior management.

Qualifications

• 3-5 years experience, including Medicaid focused work.
• Adept at problem solving and decision making skills.
• Adept at collaboration and teamwork.
• Adept at growth mindset (agility and developing yourself and others) skills.
• Adept at execution and delivery (planning, delivering, and supporting) skills.

Responsibilities

• Assists in managing the day-to-day complex business consultation services to support the organization's goals and objectives.
• Implements processes and assignments for research, collecting, analyzing, and compiling data and information for the business consulting department reports.
• Assesses files, reports, and financial records, and manages department record retention.
• Directs individuals to develop a high degree of customer service by fielding internal and external inquiries, finding resolutions, or redirecting as appropriate.
• Confers internally and externally with clients and senior management regarding the organization's goals and objectives.
• Coaches the internal and external department point of contact ensuring concise communication with employees, stakeholders, and members of the senior management.
• Delivers advice to the organization regarding current business trends and best practices by preparing analyses for senior management, stakeholders, and clients.
• Implements processes to performance appraisals within the business consulting department ensuring compliance and continuous improvement.
• Helps establish and implement strategic review processes ensuring continuous improvement, compliance, and high-performance standards are upheld.

Skills

Problem solving

Collaboration

Growth mindset

Execution

Education

Bachelor's degree

Job description

CVS Health is seeking an experienced individual contributor to design enterprise-wide solutions supporting Medicaid value-based operational strategies. This role partners with business owners to optimize strategic objectives, enabling profitable growth and improved organizational effectiveness.

Responsibilities include managing day-to-day consulting services, analyzing data for reports, guiding internal stakeholders, and delivering analyses to senior management.