CVS Health · 13 hours ago
Lead Director, VBP Transformation - Must reside in Louisiana
Kenner, LA
Full-time
Onsite
Lead/Staff, Director/Executive
$100K/yr - $232K/yr
3+ years expCVS Health is dedicated to building a world of health around individuals, focusing on a connected and compassionate health experience. They are seeking a Senior Director of Value Based Payment Transformation who will oversee performance, regulatory reporting, and management of VBP contractual responsibilities, working closely with executive leadership and partners to drive success in Alternative Payment Models.
Health CareMedicalPharmaceuticalRetailSales
Responsibilities
Development of strong relationships and provider engagement on VBP models through recurring in-person and virtual meetings with management to executive leadership of small to large provider groups and systems
Support providers VBP readiness and success through ongoing education, surveys, VBP model overviews and performance updates
Identify and execute performance improvement initiatives in partnership with providers and multiple internal matrixed growth partners
Implement processes to share data and performance reports monthly with participating VBP providers
Partner with multiple informatics teams to design and develop advanced self-service VBP reporting and dashboards to understand actionable insights that drive multi-year strategies
Regularly assess and communicate to internal and external stakeholders the financial performance of all implemented APMs
Achieve annual financial performance targets tied to VBP
Leverage advanced Excel, SQL, and other analytics skills to conduct ad-hoc analysis of large data sets
Implement and execute VBP contractual requirements and initiatives, including the annual updated VBP Strategic Plan to drive ongoing model improvement
Fielding and coordinating responses to VBP related State inquiries
Conducting quality reviews of all regulatory VBP reports prior to submission
Participating in all regulatory and internal VBP workgroups/meetings and owning key action items
Qualification
Required
3+ years of Value-Based / Alternative Payment Model experience
3+ years of Medicaid payor experience
1+ years of experience interpreting and executing contractual and/or regulatory language and managing oversight of regulatory requirements
Deep understanding of health plan operations and data, including Quality and NCQA HEDIS, provider contracting & credentialing, claims/encounters processing, utilization management, case management, network access requirements, and Medicaid eligibility and capitation
Advanced data analytics skills, including advanced Excel, intermediate+ SQL (Power BI experience preferred)
Strong presentation skills and communication skills to executive level audiences, both written and verbal
Successfully able to navigate and influence associates across all levels in a large matrixed organization
Excellent organization and time management skills
Preferred
5+ years of developing and executing project plans and engineering or re-engineering business workflows and technical processes
Benefits
Affordable medical plan options
401(k) plan (including matching company contributions)
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
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
2026-01-25
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