Senior Manager, Value-Based Care Contracting

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🕒 Outubro 29

⚜️ Louisiana – Remoto

⚜️ Louisiana – Remote

💵 $67.900 - $149.328 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

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CVS Health Careers

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

🛒 Varejo

📦 Logística

Healthcare • Retail • Logistics

CVS Health Careers é a área de recrutamento e employer branding da CVS Health, apresentando oportunidades de trabalho em diversas áreas da empresa — lojas de varejo farmacêutico, serviços de farmácia, clínicas de saúde, centros de distribuição, funções corporativas e transporte. O site de carreiras destaca um trabalho orientado por propósito, focado em melhorar o acesso, a acessibilidade financeira e a qualidade dos cuidados de saúde, além de apresentar uma grande força de trabalho (mais de 300. 000 funcionários), uma cultura inclusiva, benefícios e recursos de contratação para candidatos.

Descrição

• Direct groups managing provider contract performance • Support development and implementation of strategic, value-based contract relationships • Negotiate network contracts with healthcare providers • Establish reimbursement rates, service agreements, and performance metrics • Advise on provider performance, network adequacy, geographical coverage, and member satisfaction • Make necessary network modifications or expansions • Implement improvement initiatives to ensure network providers meet regulatory and quality standards • Develop and expand the network by identifying and contracting with hospitals, physicians, specialists, and ancillary service providers • Conduct market analysis and assess competitive positioning • Recommend strategies to maintain a competitive edge • Interface with finance on budgeting, cost analysis, and financial forecasting • Consult with medical directors, operations managers, and network development professionals • Provide recommendations to senior leadership to guide decision-making and align with organizational goals

🎯 Requisitos

• Minimum 7 years of experience in provider network management, contract negotiations, or value-based contracting within Medicaid or managed care programs • Strong understanding of Medicaid reimbursement models, value-based care, and risk sharing arrangements • Demonstrated ability to analyze financial and quality performance data and implement process improvements • Experience with provider performance measurement, quality improvement and building strong provider partnerships • Reside in the Louisiana market • Bachelor’s degree preferred/specialized training/relevant professional qualification • Problem solving and decision-making skills • Collaboration and teamwork skills • Growth mindset, including agility and developing yourself and others • Execution and delivery skills, including planning, delivering, and supporting • Business intelligence skills

🏖️ Benefícios

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program • Equity award program

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