Senior Manager, Value-Based Care Partnerships

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

Job summary

CVS Health Corporation is recruiting for a Senior Manager; Value Based Contractor supporting Medicare and Medicaid to partner with business development and network leaders to build innovative provider relationships as part of the National Value Based Solutions Specialty Partnership team.

You will collaborate across Network and Clinical organizations to ensure speed to market and support segment leaders with growing our Specialty and Medicaid VBC portfolio.

Qualifications

• 7+ years of experience in value-based care contracting, provider relations, or provider operations.
• Medicaid or Medicare contracting experience required, with large specialty groups preferred.
• Experience in Value Based Care financial models.
• Experience in risk-based arrangements and government VBC programs.
• Strong execution, planning and delivery skills.
• Excellent organizational and detail skills in a highly matrixed environment.
• Ability to present and translate complex data into clear information.

Responsibilities

• Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners.
• Developing relationships with leaders of specialty or Medicaid provider organizations to design and execute on growth strategies.
• Develop and educate leaders on specialty landscapes and what financial models are being used across the industry.
• Partnering with finance on the development of financial models and VBC contracts to support portfolio growth.
• Partnering 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 care contracting

Provider relations

Contract negotiations

Financial modeling

Data interpretation

Cross-functional collaboration

Education

Bachelor’s degree

Job description

CVS Health Corporation is recruiting for a Senior Manager; Value Based Contractor supporting Medicare and Medicaid to partner with business development and network leaders to build innovative provider relationships as part of the National Value Based Solutions Specialty Partnership team.

You will collaborate across Network and Clinical organizations to ensure speed to market and support segment leaders with growing our Specialty and Medicaid VBC portfolio.