Senior Manager, Provider Performance Engagement Management

Job not on LinkedIn

🔥 1 hour ago

⛰️ Colorado, Illinois, +11 more states – Remote

⛰️ Colorado – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🌾 Nebraska – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🗿 South Dakota – Remote 🧀 Wisconsin – Remote

💵 $67.9k - $182.5k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 0%

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Ensure strategic alignment, operational success and performance management of assigned provider relationships, network and value-based relationships • Ensure assigned value-based contract arrangements function successfully while improving quality of care and reducing costs • Understand value-based contract terms to answer questions and address issues • Establish and maintain productive, professional provider relationships • Educate internal and external parties on contract terms and expectations • Coordinate and prepare for external provider meetings, including JOCs, clinical meetings, informatics discussions and contract reconciliations • Engage relevant clinical, pharmacy, financial and analytical subject matter experts to optimize performance • Partner with local markets to drive provider performance against business and team objectives • Drive improvement in deal performance across multiple lines of business • Leverage reporting and data to monitor financial, clinical, cost and efficiency targets • Identify and execute improvement opportunities

🎯 Requirements

• 7+ years experience in a health plan, health system or provider organization • 3+ years of Medicare experience • Proven ability to interact with, influence and collaborate with internal and external stakeholders at all levels • Experience managing a matrixed environment and leveraging internal business partners to complete tasks • Knowledge of the healthcare and insurance industry • Ability to form strong client relationships • Must reside in CO, KY, KS, IL, IA, IN, MI, MN, MO, ND, NE, OH, SD, or WI • ACO / managed-care experience preferred

🏖️ Benefits

• 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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