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Senior Manager, Provider Performance Engagement Management
CVS Health. Accountable for the strategic alignment, operational success and performance management of assigned provider relationships, network and value-based relationships .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in managing provider relationships and value-based contracts within the healthcare industry, focusing on performance management and operational success. Proven ability to leverage data and reporting to drive improvement in deal performance and ensure compliance with contract terms.
Highest-signal resume keywords
7+ Years Experience In Health Plan3+ Years Medicare ExperienceHealthcare And Insurance Industry KnowledgeProven Stakeholder CollaborationACO / Managed-Care Experience Preferred
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
Strong Client Relationship FormationAbility To Influence And Collaborate
Industry Keywords
Value-Based Contract ManagementProvider Relationship ManagementPerformance ManagementOperational SuccessMatrixed Environment Experience
About the role
Key responsibilities & impact- Accountable for the strategic alignment, operational success and performance management of assigned provider relationships, network and value-based relationships
- Ensure assigned value based contract arrangements function successfully and improve quality of care while reducing costs
- Understand value based contract terms to answer questions and address issues
- Establish and maintain productive, professional provider relationships
- Educate internal and external parties to ensure compliance with contract terms and expectations
- Coordinate and prepare for external provider meetings
- Ensure impactful internal subject matter experts are utilized to optimize performance
- Drive provider performance and partner with local markets against business and team objectives
- Drive improvement in deal performance for multiple lines of business
- Leverage reporting and data to monitor contract performance against financial, clinical, cost and efficiency targets
- Identify and execute improvement opportunities
Requirements
What you’ll need- 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
- Bachelor's degree or equivalent experience
- ACO / managed-care experience preferred
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program
- Equity award program
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being