Senior Manager, Value-Based Provider Partnerships

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

Job summary

CVS Health Corporation seeks a Senior Manager, Value Based Contractor to advance Medicare/Medicaid VBC contracting within the National Value Based Solutions Specialty Partnership. You will collaborate with network, clinical, and finance teams to accelerate market adoption and portfolio growth.

Role requires deep expertise in value-based care, contracting, and financial modeling, with a focus on outcome-driven partnerships in a large healthcare network.

Qualifications

• 7+ years in value-based care contracting or related fields.
• Medicaid or Medicare contracting experience required, working with large specialty groups preferred.
• Experience with value-based care financial models.
• Experience in risk-based arrangements and government services.
• Adept at execution and delivery in a matrixed environment.

Responsibilities

• Supports contracting with specialty and Medicaid provider partners.
• Develops relationships with leaders of provider organizations to drive growth.
• Educates leaders on specialty landscapes and financial models used in the industry.
• Partners with finance on financial models and VBC contracts for portfolio growth.
• Collaborates with Network and Segment teams to deploy VBC strategies timely.
• Performs market analysis and coordinates cross-functional teams for model development.
• Acts as liaison among internal customers, operations, actuary, product, and analytics to meet needs.

Skills

Value-based care contracting

Provider relations

Provider operations

Solutions

Medicaid/Medicare contracting

Financial modeling

Risk-based arrangements

Data interpretation

Education

Bachelor's degree

Job description

CVS Health Corporation seeks a Senior Manager, Value Based Contractor to advance Medicare/Medicaid VBC contracting within the National Value Based Solutions Specialty Partnership. You will collaborate with network, clinical, and finance teams to accelerate market adoption and portfolio growth.

Role requires deep expertise in value-based care, contracting, and financial modeling, with a focus on outcome-driven partnerships in a large healthcare network.