Lead Director, Network Management – Value-Based Care

Job not on LinkedIn

🔥 12 hours 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

💵 $100k - $231.5k / year

⏰ Full Time

🟠 Senior

👔 Director

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Manage strategic alignment, operational success and performance of assigned provider relationships and value-based initiatives • Oversee Medicaid value-based contracting and provider performance strategies across the Central Region • Manage provider relationships and address value-based contract questions and issues • Educate internal and external parties on contract terms and expectations • Coordinate external provider meetings and engage clinical, pharmacy, financial and analytical subject matter experts • Develop workflows and strategies to integrate data and reporting • Identify and implement solutions to relationship and performance problems • Drive provider performance and partner with local markets on business and team objectives • Improve deal performance across multiple lines of business, complex models and advanced national provider partners • Monitor contract performance against financial, clinical, cost and efficiency targets using reporting and data • Supervise VBS Provider Performance team members and identify improvement opportunities • Assist the Executive Director, Provider Performance, with organizational strategies and provide support as needed • Monitor adherence to department policies and protocols • Promote team best practices and identify training and educational needs • Oversee onboarding and training plans for new team colleagues

🎯 Requirements

• 10 years experience in a health plan, health system or provider organization • Experience directly managing people and/or Teams • Self-directed individual with independent problem-solving skills • Proven ability to interact with, influence and collaborate with internal and external stakeholders at all levels • Experience managing a matrixed environment with ability to leverage internal business partners to complete tasks • Good interpersonal and communication skills • Knowledge of healthcare and insurance industry • Ability to form strong client relationships • Experience with Provider Contracting, Plan Design and Product Offerings • Bachelor's degree preferred or a combination of professional work experience and education • ACO / managed-care experience preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Award target in the company’s equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being