Senior Manager, Value-Based Contracting & Partnerships

CVS Health Corporation; Montpelier (VT); Remote; USD 114,000 - 154,000; Full time

Benefits offered by this job

Comprehensive benefits

Bonus program

Equity awards

Job summary

CVS Health is seeking a Senior Manager, Value Based Contractor to support Medicare and Medicaid contracting and to partner with business development and network leaders in building our value-based portfolio. You will collaborate with the Network and Clinical teams to move contracts quickly to market and to educate leaders on evolving specialty landscapes and financial models.

The position emphasizes execution, cross-functional collaboration, and developing robust financial models to drive

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

• 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 strategies for growth.
• 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

Execution & delivery

Complex data interpretation

Matrixed environment

Communication

Strategic thinking

Education

Bachelor’s degree

Job description

CVS Health is seeking a Senior Manager, Value Based Contractor to support Medicare and Medicaid contracting and to partner with business development and network leaders in building our value-based portfolio. You will collaborate with the Network and Clinical teams to move contracts quickly to market and to educate leaders on evolving specialty landscapes and financial models.

The position emphasizes execution, cross-functional collaboration, and developing robust financial models to drive