Senior Manager, Value-Based Provider Partnerships

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

Job summary

CVS Health Corporation is seeking a Senior Manager, Value Based Contractor supporting Medicare and Medicaid to collaborate with network leaders and business development. The role focuses on building innovative provider relationships, developing financial models, and advancing our Value Based Care portfolio across the National Value Based Solutions Specialty Partnership.

You will partner with clinical, actuarial, and analytics teams to ensure market speed and ROI for enterprise-scale initiatives

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

• Identify, evaluate, and complete contracting with specialty and Medicaid provider partners.
• Develop relationships with leaders of specialty or Medicaid provider organizations to drive growth.
• Educate leaders on specialty landscapes and financial models used across the industry.
• Partner with finance to develop financial models and VBC contracts for portfolio growth.
• Work with Network and Segment teams to deploy VBC strategies timely.
• Conduct market competitive analysis and collaborate with contracting and clinical teams to create innovative value-based payment concepts.
• Coordinate cross-functional teams to develop model solutions, pilots, and initial enterprise ROI.

Skills

Value-based contracting

Provider relations

Medicare/Medicaid contracting

Financial models

Risk-based models

Cross-functional work

Presentation skills

Education

Bachelor's degree

Job description

CVS Health Corporation is seeking a Senior Manager, Value Based Contractor supporting Medicare and Medicaid to collaborate with network leaders and business development. The role focuses on building innovative provider relationships, developing financial models, and advancing our Value Based Care portfolio across the National Value Based Solutions Specialty Partnership.

You will partner with clinical, actuarial, and analytics teams to ensure market speed and ROI for enterprise-scale initiatives