Senior Manager, Medicare/Medicaid Value-Based Partnerships

CVS Health Corporation; South Dakota; Hybrid; USD 68,000 - 199,000; Full time

Benefits offered by this job

Bonus program

Equity awards

Short-term incentive

Job summary

CVS Health Corporation is seeking a Senior Manager, Value Based Contractor to advance Medicare and Medicaid value-based contracting partnerships. You will collaborate across networks to scale innovative provider relationships and ROI-driven models, driving portfolio growth in a fast-paced, matrixed environment.

The role emphasizes cross-functional execution, financial modeling, and market analysis to support enterprise-wide value-based strategies and timely deployment across segments.

Qualifications

• 7+ years of experience in value-based care contracting, provider relations, provider operations and/or solutions.
• Medicaid or Medicare contracting experience required, working with large specialty groups preferred
• Experience in Value Based Care financial models.
• Experience in Risk-based arrangements and Value-Based care in government services
• Adept at execution and delivery (planning, delivering, and supporting) skills.
• Strong organization and detail skills working in a highly matrixed environment.
• Ability to present and translate complex data into digestible information.

Responsibilities

• Support the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners.
• Develop relationships with leaders of specialty or Medicaid provider organizations to design and execute on strategies for growth.
• Develop and educate leaders on specialty landscapes and what financial models are being used across the industry.
• 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

Provider relations

Medicare/Medicaid contracting

Financial modeling

Risk-based arrangements

Execution & delivery

Data presentation

Organization & detail

Communication

Education

Bachelor's degree

Job description

CVS Health Corporation is seeking a Senior Manager, Value Based Contractor to advance Medicare and Medicaid value-based contracting partnerships. You will collaborate across networks to scale innovative provider relationships and ROI-driven models, driving portfolio growth in a fast-paced, matrixed environment.

The role emphasizes cross-functional execution, financial modeling, and market analysis to support enterprise-wide value-based strategies and timely deployment across segments.