Lead Director, Provider Performance, Value-Based Care

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🔥 3 minutes ago

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Logo of CVS Health

CVS Health

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

• establish and maintain productive value-based relationships with key network providers • develop and manage the Keystone Value-based Network • build strategic relationships with provider partners • develop innovative value-based solutions • responsible for the complete value-based contracting cycle • evaluate and implement network strategic plans

🎯 Requirements

• 10 years of related experience • comprehensive level of negotiating skills • successful track record negotiating value-based contracts • experience reviewing medical claims data • excellent analytical and problem-solving skills • strong communication, negotiation, and presentation skills • ability to work in a matrixed organization • 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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