Senior Manager, Medicare/Medicaid Value-Based Partnerships

CVS Health Corporation; Nevada (IA); Hybrid; USD 68,000 - 199,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Retirement savings options

Paid time off

Job summary

CVS Health is seeking a Senior Manager, Value Based Contractor to partner with Medicare/Medicaid and drive innovative provider relationships within the National Value Based Solutions Specialty Partnership. You will collaborate with network and clinical leaders to accelerate market adoption and grow our VBC portfolio.

The role emphasizes contracting with specialty and Medicaid partners, developing financial models, and guiding the deployment of VBC strategies across networks, while delivering

Qualifications

• 7+ years of experience in value-based care contracting or provider relations.
• Medicaid or Medicare contracting experience required.
• Experience with Value Based Care financial models.
• Experience in risk-based arrangements in government services.
• Adept at execution, planning and delivery.
• Strong organization and detail orientation in a matrixed environment.

Responsibilities

• Support contracting with Specialty and Medicaid provider partners.
• Develop relationships with leaders to design growth strategies.
• Develop and educate leaders on specialty landscapes and financial models.
• Partner with finance on the development of financial models and VBC contracts to support portfolio growth.
• Partner with Network and Segment teams to ensure deployment of VBC strategies are executed timely.
• Perform market competitive analysis, engage contracting and clinical teams to create innovative value-based payment concepts.
• Work with cross functional teams to create and initiate model solution development, pilot models, and ensure initial ROI for enterprise scaling.
• Serve as a liaison among internal customers, operations, actuary, product, and analytic teams to ensure reimbursement initiatives meet the needs of internal and external customers.

Skills

Value-based contracting

Medicare/Medicaid

VBC financial models

Risk-based arrangements

Execution & delivery

Organization skills

Cross-functional collaboration

Data presentation

Education

Bachelor's degree

Job description

CVS Health is seeking a Senior Manager, Value Based Contractor to partner with Medicare/Medicaid and drive innovative provider relationships within the National Value Based Solutions Specialty Partnership. You will collaborate with network and clinical leaders to accelerate market adoption and grow our VBC portfolio.

The role emphasizes contracting with specialty and Medicaid partners, developing financial models, and guiding the deployment of VBC strategies across networks, while delivering