Senior Manager, Value-Based Care Partnerships & Contracts

CVS Health Corporation; Iowa (LA); Hybrid; USD 68,000 - 199,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health Corporation is seeking a Senior Manager, Value Based Contractor to advance Medicare and Medicaid value-based contracting and build strategic provider relationships across the National Value Based Solutions Specialty Partnership team.

You will collaborate with business development, network leaders, and finance to design innovative VBC concepts and ensure timely deployment across segments, delivering ROI and scalable solutions for health care providers.

Qualifications

• 7+ years of value-based care contracting and provider relations.
• Medicare/Medicaid contracting experience with large specialty groups.
• Experience with value-based care financial models and risk-based arrangements.
• Ability to execute in a highly matrixed environment.

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 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

Contracting

Medicare/Medicaid

Financial models

Risk-based care

Execution

Data analysis

Presentation

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 and build strategic provider relationships across the National Value Based Solutions Specialty Partnership team.

You will collaborate with business development, network leaders, and finance to design innovative VBC concepts and ensure timely deployment across segments, delivering ROI and scalable solutions for health care providers.