Provider Performance & Value-Based Care Lead

Hispanic Alliance for Career Enhancement; Colorado; Hybrid; USD 68,000 - 199,000; Full time

Job summary

CVS Health is seeking a Senior Manager of Provider Performance to guide providers toward value-based care outcomes. You will develop strategic initiatives to shift from fee-for-service to value-based models and lead performance, data interpretation, and financial management efforts.

Remote work is supported with a secure home network and VPN; strong collaboration with executive stakeholders is essential. 5+ years in healthcare analytics and related fields are preferred.

Qualifications

• Bachelor's degree or commensurate work experience in consulting, business administration, or economics.
• 5+ years in healthcare data analytics, administration, or related role.
• Knowledge of healthcare regulations, value-based care, and performance metrics.
• Excellent communication and interpersonal skills to collaborate with stakeholders.
• Proficiency in data management and analysis tools (Excel, data visualization).
• Detail-oriented, organized, and able to manage multiple projects.
• Remote work permitted; secure home network and VPN.
• Familiarity with electronic health record systems is a plus.

Responsibilities

• Performance Analysis: Analyze contractual metrics related to value-based care to drive outcomes.
• Data Interpretation: Translate complex data into actionable insights for providers.
• Financial Management: Monitor contracts and identify cost-saving opportunities.
• Patient Engagement: Develop strategies to involve patients and improve care.
• Technology Utilization: Recommend EHR and other tech to support care initiatives.
• Educational Support: Deliver training on value-based care delivery and reporting.
• Risk Stratification: Develop models to identify high-risk patients and tailor interventions.
• Patient Engagement Strategies: Collaborate on engaging patients and preventive measures.

Skills

Analytical

Communication

Problem Solving

Interpersonal

Value-based care

Change management

Technology

Education programs

Education

Bachelor's degree or commensurate experience

Experience in healthcare analytics (5+ years)

Tools

Excel

Data visualization

Job description

CVS Health is seeking a Senior Manager of Provider Performance to guide providers toward value-based care outcomes. You will develop strategic initiatives to shift from fee-for-service to value-based models and lead performance, data interpretation, and financial management efforts.

Remote work is supported with a secure home network and VPN; strong collaboration with executive stakeholders is essential. 5+ years in healthcare analytics and related fields are preferred.