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CVS Health Senior Manager, Provider Performance (remote) in Missouri

Job Description

The Senior Manager is accountable for the strategic alignment, operational success and performance management. Assigned to VBS Providers limited to only one line of business (Medicare or Commercial) and/or less complex VBS models (Medicare Lites, Commercial P4Ps) and less sophisticated and smaller provider partnerships (small Physician practices, small-medium sized health systems). Ensures that assigned VBC arrangements are functioning successfully and working to improve quality of care while reducing costs.Primary Job Duties & Responsibilities:VBS Provider Relationship Management - Understands the terms of the VBC arrangements to answer questions/address issues. Responsible for establishing and maintaining a productive, professional relationshipsSets the tone for the relationshipEducates internal and external parties as needed to ensure compliance with contract terms and expectationsCoordinates and prepares for external provider meetings and ensures that the most impactful internal subject matter experts (clinical, pharmacy, financial, analytical, etc.) are utilized in order to optimize performance. (External meetings include JOCs, clinical meetings, Informatics discussions, contract reconciliations, etc.) Deal Performance ManagementResponsible for driving improvement in deal performanceLeverages reporting/data to monitor contract performance against financial, clinical, cost and efficiency targets. Identifies areas where improvements need to be madeProvides strategy consultation on actions/tactics to make those improvements

Pay Range

The typical pay range for this role is:

Minimum: 75,400

Maximum: 162,700

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications

3-5 years prior relevant work experience required.Knowledge of healthcare and insurance industryExperience managing matrixed environment with ability to leverage internal business partners to complete tasksUnderstanding of Provider Contracting, Plan Design and Product Offerings

Preferred Qualifications

Bachelor's Degree Preferred5+ years experience in a health plan, health system or provider organization, ACO / managed-care experience preferredGood interpersonal and communication skillsAbility to form strong client relationships.Proven ability to interact with, influence and collaborate with internal and external stakeholdersPreferred locations: MO, CO, ND, SD, NE, KS, IA.


Bachelor's Degree or equivalent work experience.

Business Overview

Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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