Senior Manager, Provider Contracting – National Specialty Value Based Care Partnerships
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Arizona, Ohio, Pennsylvania, Texas • 🇺🇸 United States
Visit company websiteSalary
💰 $67,900 - $199,144 per year
Job Level
Senior
About the role
- Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners.
- Developing relationships with leaders of specialty chronic kidney, oncology, polychronic/complex care, and emerging specialty types) 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.
- Partnering with finance on the development of financial models and VBC contracts to support portfolio growth.
- Partnering 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.
Requirements
- 5+ years of experience in value-based care in contracting, provider relations, provider operations and/or solutions
- 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
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- 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
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
value-based carefinancial modelsrisk-based arrangementscontractingprovider relationsprovider operationssolutions developmentmarket competitive analysisROI analysis
Soft skills
execution skillsdelivery skillsorganizational skillsdetail-orientedpresentation skillsdata translation