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Senior Manager, Provider Contracting – National Specialty Value Based Care Partnerships
CVS Health. Support the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in value-based care contracting and provider relations, with a strong focus on financial models and innovative payment concepts. Proven ability to collaborate with cross-functional teams and present complex data effectively to drive strategic growth initiatives.
Highest-signal resume keywords
Value-Based Care ExperienceFinancial Models ExpertiseRisk-Based Arrangements KnowledgeCross-Functional CollaborationMarket Competitive Analysis
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Value-Based CareContractingProvider RelationsFinancial ModelingRisk-Based ArrangementsData PresentationMarket AnalysisROI AnalysisGrowth Strategy DevelopmentInnovative Payment Concepts
Soft Skills
Execution SkillsOrganizational SkillsDetail OrientationCommunication SkillsRelationship Building
Certifications & Qualifications
Bachelor’s DegreeSpecialized Training
Industry Keywords
MedicaidSpecialty ProvidersValue-Based Care StrategiesGovernment ServicesPortfolio Growth
About the role
Key responsibilities & impact- Support the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners
- Develop relationships with leaders of specialty or Medicaid provider organizations to design and execute growth strategies
- Develop and educate leaders on specialty landscapes and industry financial models
- Partner with finance on financial models and value-based care contracts to support portfolio growth
- Partner with Network and Segment teams to ensure timely deployment of value-based care strategies
- Perform market competitive analysis and engage contracting and clinical teams to create innovative value-based payment concepts
- Work with cross-functional teams to create and initiate model solutions, pilot models, and ensure initial ROI for enterprise scaling
- Serve as liaison among internal customers, operations, actuary, product, and analytic teams to ensure reimbursement initiatives meet internal and external customer needs
Requirements
What you’ll need- 5+ years of experience in value-based care in contracting, provider relations, provider operations and/or solutions
- Experience in Value Based Care financial models
- Experience in risk-based arrangements and value-based care in government services
- Adept at execution and delivery (planning, delivering, and supporting) skills
- Strong organization and detail skills working in a highly matrixed environment
- Ability to present and translate complex data into digestible information
- Bachelor’s degree preferred/specialized training/relevant professional qualification
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program
- Award target in the company’s equity award program
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources based on eligibility