Senior Manager, Value-Based Contracts: Medicare/Medicaid

Colorado Psychiatric; Denver (CO); Hybrid; USD 68,000 - 199,000; Full time

Benefits offered by this job

Comprehensive benefits package

Bonus eligibility

Equity awards

Job summary

CVS Health is recruiting for a Senior Manager, Value Based Contractor, supporting Medicare and Medicaid and partnering 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 the 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, 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 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 and execute on 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 operations

Financial modeling

Cross-functional collab

Risk-based models

Education

Bachelor's degree

Job description

CVS Health is recruiting for a Senior Manager, Value Based Contractor, supporting Medicare and Medicaid and partnering 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 the Network and Clinical organizations to ensure speed to market and support segment leaders with growing our Specialty and Medicaid VBC portfolio.