Provider Performance & Engagement Lead — Value-Based Care

CVS Health; Columbus (OH); On-site; USD 68,000 - 183,000; Full time

Job summary

CVS Health is looking for an experienced Provider Relations Manager to oversee strategic alignment, operations, and performance of provider networks and value-based contracts.

You will educate stakeholders on contract terms, coordinate external meetings, and drive performance improvements using data and cross-functional collaboration across clinical, pharmacy, and financial teams. A Bachelor's degree and Medicare experience are required.

Qualifications

• 7+ years in a health plan, health system or provider org.
• 3+ years of Medicare experience.
• Ability to interact, influence and collaborate with stakeholders at all levels.
• Experience with matrixed environments and cross-functional partners.
• Knowledge of healthcare and insurance industry.
• Strong client relationship skills.
• Must reside in listed states (incl. OH).

Responsibilities

• Aligns provider relationships with value-based contracts and performance goals.
• Educates internal and external parties on contract terms and expectations.
• Coordinates external provider meetings with clinical, pharmacy, financial, and analytics experts.
• Drives provider performance with local market teams to meet objectives.
• Uses reporting to monitor contract performance against financial and clinical targets.
• Identifies and executes improvement opportunities.

Skills

Relationship management

Medicare experience

Stakeholder collaboration

Education

Bachelor's degree or equivalent experience

Job description

CVS Health is looking for an experienced Provider Relations Manager to oversee strategic alignment, operations, and performance of provider networks and value-based contracts.

You will educate stakeholders on contract terms, coordinate external meetings, and drive performance improvements using data and cross-functional collaboration across clinical, pharmacy, and financial teams. A Bachelor's degree and Medicare experience are required.