Senior Manager, Value-Based Care Partnerships

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

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health Corporation is seeking a Senior Manager, Value Based Contractor to drive Medicare and Medicaid value-based contracting strategies in collaboration with business development and network leaders. You will partner with cross-functional teams to grow our VBC portfolio and ensure timely deployment of innovative models.

You will analyze financial models, educate leadership on specialty landscapes, and work with actuary and analytics teams to align reimbursement initiatives with enterprise

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

• Identify, evaluate, and complete contracting with Specialty and Medicaid provider partners.
• Develop relationships with leaders of specialty or Medicaid provider organizations to design growth strategies.
• Educate leaders on specialty landscapes and financial models used across the industry.
• Partner with finance on developing financial models and VBC contracts to support portfolio growth.
• Collaborate with Network and Segment teams to deploy VBC strategies on time.
• Perform market competitive analysis and engage contracting and clinical teams to create innovative value-based payment concepts.
• Work with cross-functional teams to initiate model solution development, pilots, and ROI for scaling.
• Serve as a liaison among internal customers, operations, actuary, product, and analytics teams.

Skills

Value-based care contracting

Provider relations

Risk-based arrangements

Execution & delivery

Organization & detail

Education

Bachelor's degree

Job description

CVS Health Corporation is seeking a Senior Manager, Value Based Contractor to drive Medicare and Medicaid value-based contracting strategies in collaboration with business development and network leaders. You will partner with cross-functional teams to grow our VBC portfolio and ensure timely deployment of innovative models.

You will analyze financial models, educate leadership on specialty landscapes, and work with actuary and analytics teams to align reimbursement initiatives with enterprise