Provider Performance Sr. Manager, Primary Care

CVS Health; United States; Remote; USD 67,000 - 150,000; Full time

Job summary

A leading health solutions company is seeking an experienced professional to enhance provider performance within their network. The role involves developing strategies, monitoring metrics, and collaborating with stakeholders to improve healthcare quality. Ideal candidates will have strong problem-solving skills and a background in provider engagement.

Benefits

Affordable medical plan options

401(k) plan with matching contributions

Employee stock purchase plan

No-cost wellness programs

Tuition assistance

Flexible work schedules

Qualifications

• Minimum of 5 years related experience with provider engagement.
• Working knowledge of Medicare contracts.
• Understanding of value-based contracts.

Responsibilities

• Develops and implements strategies to assess provider performance.
• Monitors provider performance metrics and quality indicators.
• Collaborates with stakeholders to enhance quality of care.

Skills

Problem Solving

Decision Making

Presentation Skills

Communication

MS Office

Education

Bachelor's Degree

Job description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Implements Value Based Care (VBC) National Primary Care network strategies, monitors provider performance metrics, leads dispute resolution processes, and collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships.

What you will do

• Develops and implements internal and external strategies to effectively assess and advance the performance of healthcare providers within the company's network.

• Develops and maintains provider scorecards and performance reports to track and communicate performance metrics to internal stakeholders, executives, and network providers.

• Monitors and evaluates provider performance metrics, such as quality indicators, patient satisfaction scores, cost efficiency measures, and adherence to clinical guidelines.

• Communicates with providers to develop and implement initiatives aimed at enhancing quality of care, patient outcomes, and operational efficiency.

• Contributes to business objectives by collaborating with the network development team to identify providers that align with the company's strategic goals and objectives.

• Manages operational aspects of the team, and implements workforce and succession plans to successfully achieve business goals.

• Guides management for individual performance evaluations aimed to provide critical feedback for skills development and depth of work area experience.

• Develop JOC decks and lead presentations with external facing provider groups

Required Qualifications:

• A minimum of 5 years related experience with provider engagement, relations, or account management.

• Working knowledge of Medicare contracts.

• An understanding of value based contracts, how they work, what is the value.

• Strong presentation skills, the ability to communicate effectively.

• Mastery of problem solving and decision making skills

• Strong MS Office skills.

Preferred Qualifications:

• The ability to use data to tell a story.

• Mastery of growth mindset (agility and developing yourself and others) skills.

Education:

• Bachelor's degree preferred or a combination of professional work experience and education.

Pay Range

The typical pay range for this role is:

$67,900.00 - $149,328.00

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visithttps://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 05/16/2025

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