Lead Director, Network Management – Value-Based Care

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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

• accountable for the strategic alignment, operational success and performance management of assigned provider relationships • ensure that assigned value based contract arrangements are functioning successfully • work to improve quality of care while reducing costs • includes supervisory responsibilities for VBS Provider Performance team members • provide dedicated leadership and oversight for Medicaid value-based care initiatives across the Florida and Louisiana markets • development, execution, and oversight of Medicaid focused value-based contracting and provider performance strategies

🎯 Requirements

• 10 years experience in a health plan, health system or provider organization • ACO / managed-care experience preferred • 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 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 • Bachelor's degree preferred or a combination of professional work experience and education.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility

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