Sr. Associate Managed Care Operations

Hispanic Alliance for Career Enhancement; Chicago (IL); On-site; USD 46,000 - 113,000; Full time

Job summary

An innovative healthcare company is seeking a Senior Analyst for Managed Care Operations. In this pivotal role, you will contribute to strategic initiatives, manage programs, and analyze financial implications of health plan contracts. Your strong communication and problem-solving skills will be essential in fostering relationships with health plans and driving project success. Join a rapidly growing organization that values creativity and teamwork, and be part of a mission to transform healthcare for underserved communities. This position offers a dynamic environment where your contributions can lead to significant advancements in patient care and operational excellence.

Benefits

Paid vacation/sick time

401(k) plan with matching contributions

Employee stock purchase plan

Wellness screenings

Tobacco cessation programs

Weight management programs

Confidential counseling

Financial coaching

Flexible work schedules

Tuition assistance

Qualifications

• Bachelor's degree required with strong communication and analytical skills.
• 3-5+ years in healthcare, preferably managed care, is preferred.

Responsibilities

• Manage programs within Managed Care Operations and execute projects.
• Analyze financial implications of health plan contracts and communicate risks.

Skills

Communication Skills

Problem-Solving Skills

Analytical Skills

Project Management

Interpersonal Skills

MS Excel

Education

Bachelor's Degree

Job description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Company: Oak Street Health

Title: Senior Analyst, Managed Care Operations

Location: 30 W. Monroe St. Chicago IL, 60603

Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers that provides higher quality health and wellness care that improves outcomes, manages medical costs, and provides an unmatched experience for adults on Medicare in medically underserved communities. By providing holistic, comprehensive and integrated care right in our patient's communities, we can keep our patients healthy and then reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people in Illinois, Indiana, Michigan, Pennsylvania, and Ohio. At 40 locations, and with an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about the mission to rebuild healthcare as it should be.

Role Description

The Managed Care Operations Senior Analyst will immediately become an important contributor to the Oak Street Health team. The ideal candidate will have strong relationship skills, be self-directed, and enjoy working with a team in a fast-paced startup environment, while bringing his/her experience and innovative ideas. Highly successful candidates will have existing familiarity with managed care systems/processes.

Responsibilities include:

• Independently manage programs within Managed Care Operations, responsible for development and execution of projects across a variety of areas
• Manage strategy and execution of OSH Preferred Network, including management of a project plan, analytics, and oversight of field-based activities
• Develop deep understanding of OSH financial operations / workflows and their key intersection points with health plan processes
• Analyze financial implications of existing and potential future health plan contracts, quantifying and communicating organizational risk to senior leadership
• Support OSH relationships with health plans, including contracting, implementation and ongoing accountability management
• Support delegated activities as required (e.g. identification of business requirements for system implementation, oversight of vendor driven activities)
• Other duties as assigned based on background and areas of interest

What we're looking for:

Required qualifications include:

• Bachelor's degree
• Excellent communication, facilitation, and interpersonal skills with the ability to be personable yet persistent
• Excellent problem-solving and analytical skills and impeccable business judgment
• Ability to independently pursue and implement solutions to complex problems
• Ability to manage multiple priorities in a fast-paced environment
• Project management skills
• Strong MS Excel skills
• US work authorization
• Someone who embodies being 'Oaky'. What it means to be OAKY:
• Creating an unmatched patient experience
• Driving clinical excellence
• Taking ownership and driving for results
• Being scrappy
• Radiating positive energy
• Assuming good intentions

Preferred experience:

• 3-5+ years of experience in healthcare industry (preferably in managed care function e.g. Medicare Advantage, Managed Medicaid, IPA)
• Familiarity with HMO operations, experience with multiple health plan functional areas a plus

Why Oak Street?

• The opportunity to be part of a hyper-growth company, focused on changing the future of healthcare.
• Paid vacation/sick time, retirement options, as well as health, vision and dental benefits
• HQ (the 'Treehouse') is located in the heart of Downtown/Chicago Loop
• High levels of responsibility and rapid advancement
• Supportive and fun culture
• Opportunity to be at the forefront of a revolution in healthcare

Oak Street Health is an equal opportunity employer. We embrace diversity and encourage all interested readers to apply to oakstreethealth.com/careers

Anticipated Weekly Hours: 40

Time Type: Full time

Pay Range:

The typical pay range for this role is: $46,988.00 - $112,200.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 05/30/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.