Senior Manager, Value-Based Care Partnerships

CVS Health Corporation; Rhode Island; Hybrid; USD 119,000 - 199,000; Full time

Benefits offered by this job

Medical coverage

Dental & vision coverage

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health is seeking a Senior Manager, Value Based Contractor to partner on Medicare and Medicaid initiatives within the National Value Based Solutions team. You will collaborate across Network and Clinical organizations to accelerate market adoption of VBC contracts and drive strategic provider relationships that support portfolio growth.

You will develop and educate leaders on specialty landscapes and the financial models used across the industry, working with finance to design ROI-driven

Qualifications

• 7+ years of experience in value-based care contracting, provider relations, or related solutions.
• Medicaid or Medicare contracting experience with large specialty groups preferred.
• Experience designing and understanding value-based financial models.
• Experience with risk-based arrangements and government value-based care.
• Strong planning, delivery, and stakeholder management skills.
• Ability to translate complex data into actionable insights.

Responsibilities

• Identify, evaluate, and complete contracting with specialty and Medicaid provider partners.
• Build relationships with leadership of provider organizations to design growth strategies.
• Educate leaders on specialty landscapes and financial models used in the industry.
• Partner with finance on financial models and VBC contracts.
• Collaborate with Network and Segment teams to deploy VBC strategies on time.
• Perform market analysis and work with contracting and clinical teams on innovative concepts.
• Lead cross-functional model development, pilots, and ROI for scaling.
• Serve as liaison among internal customers, operations, actuary, product, and analytics.

Skills

Value-based care contracting

Provider relations

Medicare/Medicaid contracting

Financial models

Risk-based arrangements

Execution and delivery

Matrixed environment

Data interpretation

Education

Bachelor's degree

Job description

CVS Health is seeking a Senior Manager, Value Based Contractor to partner on Medicare and Medicaid initiatives within the National Value Based Solutions team. You will collaborate across Network and Clinical organizations to accelerate market adoption of VBC contracts and drive strategic provider relationships that support portfolio growth.

You will develop and educate leaders on specialty landscapes and the financial models used across the industry, working with finance to design ROI-driven