Senior Manager, Provider Performance Engagement Management

CVS Health; Ohio; Hybrid; USD 68,000 - 183,000; Full time

Job summary

CVS Health is seeking an experienced Provider Relations professional to align strategy, manage networks and value-based contracts, and drive performance improvements. This role emphasizes collaboration with clinical, financial, and analytical teams to enhance quality of care while reducing costs.

You will work with internal and external stakeholders across markets, monitor contract performance, and pursue opportunities to optimize deals and outcomes in a multi-state environment.

Qualifications

• 7+ years experience in a health plan, health system or provider organization.
• 3+ years of Medicare experience.
• Proven ability to interact with, influence and collaborate with internal and external stakeholders at all levels.
• Experience managing matrixed environment with ability to leverage internal business partners to complete tasks.
• Knowledge of healthcare and insurance industry.
• Ability to form strong client relationships.

Responsibilities

• Understand terms of value-based contract arrangements and maintain productive relationships.
• Educates internal and external parties to ensure compliance with contract terms.
• Coordinates external provider meetings with subject matter experts to optimize performance.
• Drives provider performance and collaborates with local markets to meet objectives.
• Drives improvement in deal performance across lines of business.
• Leverages reporting to monitor contract performance against targets.
• Identifies and executes improvement opportunities.

Skills

Stakeholder management

Matrixed environment

Healthcare knowledge

Client relationships

Education

Bachelor's degree or equivalent experience

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

This role will be accountable for the strategic alignment, operational success and performance management of assigned provider relationships, network and value-based relationships. Ensures that assigned value based contract arrangements are functioning successfully and working to improve quality of care while reducing costs.

Responsibilities

• Provider Relationship Management - Understands the terms of the value based contract arrangements to answer questions/address issues. Responsible for establishing and maintaining productive, professional relationships.
• Educates internal and external parties as needed to ensure compliance with contract terms and expectations
• Coordinates and prepares for external provider meetings and ensures that the most impactful internal subject matter experts (clinical, pharmacy, financial, analytical, etc.) are utilized to optimize performance. (External meetings include JOCs, clinical meetings, Informatics discussions, contract reconciliations, etc.)
• Drives provider performance and partners with local market to ensure pathways to performance against business and team objectives
• Drives improvement in deal performance for multiple lines of business
• Leverages reporting/data to monitor contract performance against financial, clinical, cost and efficiency targets.
• Identifies and executes improvement opportunities.

Required Qualifications

• 7+ years experience in a health plan, health system or provider organization
• 3+ years of Medicare experience
• Proven ability to interact with, influence and collaborate with internal and external stakeholders at all levels
• Experience managing matrixed environment with ability to leverage internal business partners to complete tasks
• Knowledge of healthcare and insurance industry
• Ability to form strong client relationships
• Must reside in one of the following states: CO, KY, KS, IL, IA, IN, MI, MN, MO, ND, NE, OH, SD, WI

Preferred Qualifications

• ACO / managed-care experience preferred

Education

Bachelor's degree or equivalent experience

Pay Range

The typical pay range for this role is: $67,900.00 - $182,549.00 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.

Benefits

Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

Application Window

We anticipate the application window for this opening will close on: 11/30/2026

Legal

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

Company Culture

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.