CVS Health

Senior Manager, Value-Based Care Provider Performance – National Specialty

CVS Health

full-time

Posted on:

Origin:  • 🇺🇸 United States • Iowa

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Salary

💰 $67,900 - $199,144 per year

Job Level

Senior

About the role

  • Implements Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution processes, and collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships
  • Develops and implements internal and external strategies to effectively assess and advance the performance of healthcare providers within the company's network
  • Develops and maintains provider scorecards and performance reports to track and communicate performance metrics to internal stakeholders, executives, and network providers
  • Monitors and evaluates provider performance metrics, such as quality indicators, patient satisfaction scores, cost efficiency measures, and adherence to clinical guidelines
  • Communicates with providers to develop and implement initiatives aimed at enhancing quality of care, patient outcomes, and operational efficiency
  • Contributes to business objectives by collaborating with the network development team to identify providers that align with the company's strategic goals and objectives
  • Manages operational aspects of the team, and implements workforce and succession plans to successfully achieve business goals
  • Guides management for individual performance evaluations aimed to provide critical feedback for skills development and depth of work area experience

Requirements

  • A minimum of 5 years related experience with provider engagement, relations, or account management
  • Working knowledge of Medicare contracts
  • An understanding of value based contracts, how they work, what is the value
  • Strong presentation skills, the ability to communicate effectively
  • Mastery of problem solving and decision making skills
  • Strong MS Office skills
  • Preferred: The ability to use data to tell a story
  • Preferred: Mastery of growth mindset (agility and developing yourself and others) skills
  • Education: Bachelor's degree preferred or a combination of professional work experience and education