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CVS Health · 7 hours ago

Senior Manager, National Specialty Value Based Care Provider Performance

United States

Full-time

Remote

Senior Level

$68K/yr - $199K/yr

5+ years exp

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care for millions of Americans. The Senior Manager, National Specialty Value Based Care Provider Performance is responsible for implementing strategies to assess and advance healthcare provider performance, monitoring metrics, and collaborating with stakeholders to enhance provider relationships and network growth.

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Responsibilities

Develops and implements internal and external strategies to effectively assess and advance the performance of healthcare providers within the company's network

Develops and maintains provider scorecards and performance reports to track and communicate performance metrics to internal stakeholders, executives, and network providers

Monitors and evaluates provider performance metrics, such as quality indicators, patient satisfaction scores, cost efficiency measures, and adherence to clinical guidelines

Communicates with providers to develop and implement initiatives aimed at enhancing quality of care, patient outcomes, and operational efficiency

Contributes to business objectives by collaborating with the network development team to identify providers that align with the company's strategic goals and objectives

Manages operational aspects of the team, and implements workforce and succession plans to successfully achieve business goals

Guides management for individual performance evaluations aimed to provide critical feedback for skills development and depth of work area experience

Qualification

Provider engagementMedicare contractsValue based contractsMS OfficePresentation skillsProblem solvingData storytellingGrowth mindset

Required

A minimum of 5 years related experience with provider engagement, relations, or account management

Working knowledge of Medicare contracts

An understanding of value based contracts, how they work, what is the value

Strong presentation skills, the ability to communicate effectively

Mastery of problem solving and decision making skills

Strong MS Office skills

Preferred

The ability to use data to tell a story

Mastery of growth mindset (agility and developing yourself and others) skills

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