Provider Performance Manager I

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🔥 0 minutes ago

🌽 Illinois, Minnesota, +1 more states – Remote

🌽 Illinois – Remote ❄️ Minnesota – Remote 🤠 Texas – Remote

💵 $54.3k - $159.1k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👔 Manager

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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

• conduct in-depth analysis of contractual performance metrics related to value-based care, including utilization measures, benchmarking, cost-effectiveness, and patient outcomes • interpret and translate complex data into actionable insights for healthcare providers, helping them understand and improve their performance • monitor financial performance related to value-based care contracts and identify opportunities for cost savings, risk adjustment and revenue enhancement • develop strategies to actively involve patients in their care and treatment plans • implement patient education programs to promote health and prevent avoidable healthcare utilization • provide constructive feedback and coaching to healthcare providers, offering guidance on how to enhance their practices to align with value-based care goals • evaluate and recommend technology solutions that support value-based care initiatives, including electronic health record (EHR) optimization and other relevant tools • assist in the development and implementation of risk stratification models to identify high-risk patients and tailor care interventions accordingly • collaborate on the development of strategies to actively engage patients in their care, promoting preventive measures and improving overall health outcomes

🎯 Requirements

• 2-4 years of experience in healthcare data analytics, administration, or a related role • in-depth knowledge of healthcare regulations, value-based care, and performance metrics • strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities • excellent communication and interpersonal skills to collaborate effectively with providers, team members, and stakeholders at all levels • proven experience in designing and delivering training programs or educational initiatives • proficiency in data management and analysis tools, such as Excel or data visualization software • familiarity with electronic health record systems and healthcare information technology • detail-oriented, organized, and able to manage multiple projects simultaneously • ability to work independently, demonstrate initiative, and drive results in a fast-paced environment.

🏖️ Benefits

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