Senior Manager, Provider Contracting – National Specialty Value Based Care Partnerships

Job not on LinkedIn

🔥 1 minute ago

🏈 Alabama, Arizona, +42 more states – Remote

🏈 Alabama – Remote 🌵 Arizona – Remote 🏄 California – Remote ⛰️ Colorado – Remote 🦌 Connecticut – Remote 🐊 Florida – Remote 🥔 Idaho – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote ⚜️ Louisiana – Remote 🦞 Maine – Remote 🦬 Montana – Remote 🌾 Nebraska – Remote 🎰 Nevada – Remote 🗻 New Hampshire – Remote 🏖️ New Jersey – Remote 🌶️ New Mexico – Remote 🗽 New York – Remote 🌲 North Carolina – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🌪️ Oklahoma – Remote 🌲 Oregon – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🎸 Mississippi – Remote 🏰 Missouri – Remote 🔔 Pennsylvania – Remote ⚓ Rhode Island – Remote 🌴 South Carolina – Remote 🗿 South Dakota – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ⚔️ Virginia – Remote ☕ Washington – Remote ⛰️ West Virginia – Remote 🧀 Wisconsin – Remote 🦬 Wyoming – Remote

💵 $67.9k - $199.1k / year

⏰ Full Time

🟠 Senior

💰 Account Manager

👻 Ghost score 0%

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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

• Support identifying, evaluating, and completing contracting with specialty and Medicaid provider partners • Develop relationships with specialty or Medicaid provider organization leaders to design and execute growth strategies • Develop and educate leaders on specialty landscapes and industry financial models • Partner with finance to develop financial models and value-based care contracts • Partner with Network and Segment teams to deploy value-based care strategies on time • Perform market competitive analysis and create innovative value-based payment concepts with contracting and clinical teams • Work cross-functionally to create and initiate model solutions, pilot models, and ensure initial ROI for enterprise scaling • Serve as liaison among internal customers, operations, actuarial, product, and analytics teams to ensure reimbursement initiatives meet internal and external customer needs

🎯 Requirements

• 7+ years of experience in value-based care contracting, provider relations, provider operations and/or solutions • Medicaid or Medicare contracting experience required; experience working with large specialty groups preferred • Experience in Value Based Care financial models • Experience in risk-based arrangements and value-based care in government services • Adept at execution and delivery (planning, delivering, and supporting) skills • Strong organization and detail skills working in a highly matrixed environment • Ability to present and translate complex data into digestible information • Bachelor’s degree preferred/specialized training/relevant professional qualification

🏖️ 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