Senior Manager, Provider Performance Engagement Management

Job not on LinkedIn

🔥 1 minute ago

⛰️ Colorado, Illinois, +11 more states – Remote

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💵 $67.9k - $182.5k / year

⏰ Full Time

🟠 Senior

👔 Manager

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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

• Accountable for the strategic alignment, operational success and performance management of assigned provider relationships, network and value-based relationships • Ensure assigned value based contract arrangements function successfully and improve quality of care while reducing costs • Understand value based contract terms to answer questions and address issues • Establish and maintain productive, professional provider relationships • Educate internal and external parties to ensure compliance with contract terms and expectations • Coordinate and prepare for external provider meetings • Ensure impactful internal subject matter experts are utilized to optimize performance • Drive provider performance and partner with local markets against business and team objectives • Drive improvement in deal performance for multiple lines of business • Leverage reporting and data to monitor contract performance against financial, clinical, cost and efficiency targets • Identify and execute improvement opportunities

🎯 Requirements

• 7+ years experience in a health plan, health system or provider organization • 3+ years of Medicare experience • 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 • Knowledge of healthcare and insurance industry • Ability to form strong client relationships • Must reside in one of the following states: CO, KY, KS, IL, IA, IN, MI, MN, MO, ND, NE, OH, SD, WI • Bachelor's degree or equivalent experience • ACO / managed-care experience preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • 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

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