Senior Director, Medicaid Value-Based Networks

CVS Health; Kansas; Hybrid; USD 100,000 - 232,000; Full time

Job summary

CVS Health is seeking a senior leader to oversee Medicaid value-based contracts and provider performance across the Central Region. You will build and manage high-value relationships, align strategies, and drive improvements in deal performance while maintaining quality and cost targets.

You will supervise the VBS Provider Performance team, partner with executives, and ensure adherence to department policies while coordinating with clinical, financial, and analytical stakeholders for optimal

Qualifications

• 10 years of experience in a health plan, health system, or provider organization.
• Strong knowledge of Medicaid products, provider engagement, and regulatory requirements.
• Experience directly managing people or teams; matrixed environment.

Responsibilities

• Manage provider relationships and ensure alignment with value-based contracts.
• Lead performance initiatives and supervise VBS Provider Performance team members.
• Coordinate internal experts for external provider meetings and contract reconciliations.
• Monitor contract performance against financial, clinical, and efficiency targets.

Skills

Leadership experience

Stakeholder management

Problem solving

Healthcare industry knowledge

Regulatory compliance

Education

Bachelor's degree

Job description

CVS Health is seeking a senior leader to oversee Medicaid value-based contracts and provider performance across the Central Region. You will build and manage high-value relationships, align strategies, and drive improvements in deal performance while maintaining quality and cost targets.

You will supervise the VBS Provider Performance team, partner with executives, and ensure adherence to department policies while coordinating with clinical, financial, and analytical stakeholders for optimal