Senior Manager, Provider Performance Engagement Management

We’re building a world of health around every individual — 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 – helping to simplify health care one person, one family and one community at a time.

Position Summary

This role will be accountable for the strategic alignment, operational success and performance management of assigned provider relationships, network and value-based relationships. Ensures that assigned value based contract arrangements are functioning successfully and working to improve quality of care while reducing costs.

·         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.

Required Qualifications

• 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 

• Must reside in one of the following states: CO, KY, KS, IL, IA, IN, MI, MN, MO, ND, NE, OH, SD, WI

Preferred Qualifications:

• ACO / managed-care experience preferred 

Education

·         Bachelor's degree or equivalent experience 

Pay Range

The typical pay range for this role is:

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.  This position also includes an award target in the company’s equity award program. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.