We're building a world of health around every individual â shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger â helping to simplify health care one person, one family and one community at a time.
Requirements
- 4-5+ years of experience managing payer-provider relationships and leading value-based contracting and operations, preferably within a value-based primary care organization or Medicare Advantage payer organization
- Proven success negotiating and managing value-based contracts, with a strong understanding of key financial and operational terms and provider incentive design
- Strong financial and analytical acumen, including experience evaluating contract economics, monitoring performance, performing root-cause analysis, and communicating accordingly to senior leadership
- Demonstrated understanding of Medicare Advantage operations, including Stars performance optimization and membership attribution
- Experience with payer-provider data-sharing frameworks, provider roster management and credentialing processes, and contract management systems and reporting tools
- Exceptional communication, facilitation, and stakeholder management skills, with executive presence and the ability to be personable yet persistent
- Outstanding project management skills; ability to independently drive complex initiatives to resolution in a fast-paced environment
- Ability to manage multiple priorities while maintaining strong attention to detail and sound business judgment
- Proficiency in Microsoft Excel, Word, PowerPoint, and similar tools
- Ability to travel for occasional in-person payer and team meetings
- U.S. work authorization
- Demonstrated alignment with 'Oaky' values: Radiating positive energy, Assuming good intentions, Creating an unmatched patient experience, Driving clinical excellence, Taking ownership and delivering results, Being relentlessly determined
Benefits
- Medical, dental, and vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
