Senior Manager, Provider Performance Engagement Management

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🔥 3 minutes ago

⛰️ Colorado, Illinois, +11 more states – Remote

⛰️ Colorado – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🌾 Nebraska – Remote 🌾 North Dakota – Remote 🏈 Ohio – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🗿 South Dakota – Remote 🧀 Wisconsin – Remote

💵 $67.9k - $182.5k / year

⏰ Full Time

🟠 Senior

👔 Manager

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CVS Health

WebsiteLinkedInAll Job Openings

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 • Ensures that assigned value-based contract arrangements are functioning successfully and working to improve quality of care while reducing costs • Understands the terms of the value-based contract arrangements to answer questions/address issues • Responsible for establishing and maintaining productive, professional relationships • Educates internal and external parties as needed to ensure compliance with contract terms and expectations • Coordinates and prepares for external provider meetings and ensures that the most impactful internal subject matter experts (clinical, pharmacy, financial, analytical, etc.) are utilized to optimize performance • Drives provider performance and partners with local market to ensure pathways to performance against business and team objectives • Drives improvement in deal performance for multiple lines of business • Leverages reporting/data to monitor contract performance against financial, clinical, cost and efficiency targets • Identifies and executes 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

🏖️ Benefits

• Medical, dental, and vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources