Senior Manager, Value-Based Care Contracting

Job not on LinkedIn

🕒 July 29

⚜️ Louisiana – Remote

⚜️ Louisiana – Remote

💵 $67.9k - $149.3k / year

⏰ Full Time

🟠 Senior

👔 Manager

👻 Ghost score 24%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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

• Direct groups managing provider contract performance • Support development and implementation of strategic, value-based contract relationships • Negotiate network contracts with healthcare providers • Establish reimbursement rates, service agreements, and performance metrics • Advise on provider performance, network adequacy, geographical coverage, and member satisfaction • Make necessary network modifications or expansions • Implement improvement initiatives to ensure network providers meet regulatory and quality standards • Develop and expand the network by identifying and contracting with hospitals, physicians, specialists, and ancillary service providers • Conduct market analysis and assess competitive positioning • Recommend strategies to maintain a competitive edge • Interface with finance on budgeting, cost analysis, and financial forecasting • Consult with medical directors, operations managers, and network development professionals • Provide continuous recommendations to senior leadership

🎯 Requirements

• Minimum 7 years of experience in provider network management, contract negotiations, or value-based contracting within Medicaid or managed care programs • Strong understanding of Medicaid reimbursement models, value-based care, and risk sharing arrangements • Demonstrated ability to analyze financial and quality performance data and implement process improvements • Experience with provider performance measurement, quality improvement and building strong provider partnerships • Reside in the Louisiana market • Bachelor’s degree preferred/specialized training/relevant professional qualification • Problem solving and decision-making skills • Collaboration and teamwork skills • Growth mindset, including agility and developing yourself and others • Execution and delivery skills, including planning, delivering, and supporting • Business intelligence

🏖️ 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, based on eligibility