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CVS Health · 1 month ago

Senior Manager, Provider Performance Engagement Management

Columbus, OH

Full-time

Hybrid

Senior Level

$68K/yr - $149K/yr

7+ years exp

CVS Health is the nation’s leading health solutions company, reaching millions of Americans through local presence and digital channels. The Senior Manager, Provider Performance Engagement Management will be responsible for the strategic alignment and operational success of provider relationships, ensuring value-based contract arrangements are functioning successfully while improving quality of care and reducing costs.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Provider Relationship Management - 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. (External meetings include JOCs, clinical meetings, Informatics discussions, contract reconciliations, etc.)

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

Qualification

Provider Relationship ManagementMedicare experienceHealthcare industry knowledgeMatrix managementClient relationship buildingStakeholder collaborationPerformance monitoringImprovement executionACO experience

Required

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

Bachelor's degree or equivalent experience

Preferred

ACO / managed-care experience preferred

Benefits

Affordable medical plan options

A 401(k) plan (including matching company contributions)

An employee stock purchase plan

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility