Manager, Managed Care Directed Payments

CVS Health

Manager responsible for the design and implementation of Directed Payment Programs for CVS Health. Focusing on compliance, provider relations, and program optimization within Oklahoma's Medicaid system.

Posted 6/3/2026full-timeRemote • Oklahoma • 🇺🇸 United StatesMid-LevelSenior💰 $54,300 - $119,340 per yearWebsite

About the role

Key responsibilities & impact

Lead the development, execution, and optimization of Directed Payment Programs (DPPs)
Ensure compliance with SoonerSelect and OHCA regulatory requirements
Act as the primary point of contact for providers
Monitor program performance, identify risks, and implement process improvements

Requirements

What you’ll need

5+ years of healthcare experience
Strong background in claims operations
Demonstrated experience partnering directly with healthcare providers
Solid understanding of Medicaid managed care
Proven leadership skills

Benefits

Comp & perks

Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs

ATS Keywords

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Applicant Tracking System Keywords

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Soft Skills

leadershipcommunicationrisk managementprocess improvementprovider partnership