Manager, Payer Partnerships and Contracting

CVS Health•Chicago, IL

About The Position

Oak Street Health is seeking a talented and accomplished leader to serve as Manager, Payer Partnerships and Contracting. This leader will own Oak Street Health’s partnerships with national and regional Medicare Advantage health plans, including managing health plan relationships, contract negotiations and implementation, and ongoing operations and performance. This position plays a critical role in OSH’s mission and growth by advancing our value‑based care model by ensuring strong, collaborative, and sustainable relationships with our health plan partners. This leader approaches payer relationships with a “business owner” mindset, proactively identifying opportunities to demonstrate Oak Street Health’s value, negotiating and managing complex value‑based contracts, and resolving operational issues with urgency and accountability. The role partners closely with cross‑functional teams internally - including company executives, clinical, finance, data, population health, membership, engagement, legal, and field leaders - to drive successful contract implementations, monitor contract performance, communicate strengths, risks and opportunities to senior leadership, and continuously improve workflows. The position also may include responsibility for leading and developing team members and representing Oak Street Health with executive presence internally and externally.

Requirements

4-5+ years of experience managing payer-provider relationships and leading value‑based contracting and operations, preferably within a value‑based primary care organization or Medicare Advantage payer organization.
Proven success negotiating and managing value‑based contracts, with a strong understanding of key financial and operational terms and provider incentive design.
Strong financial and analytical acumen, including experience evaluating contract economics, monitoring performance, performing root‑cause analysis, and communicating accordingly to senior leadership.
Demonstrated understanding of Medicare Advantage operations, including Stars performance optimization and membership attribution.
Experience with payer‑provider data‑sharing frameworks, provider roster management and credentialing processes, and contract management systems and reporting tools.
Exceptional communication, facilitation, and stakeholder management skills, with executive presence and the ability to be personable yet persistent.
Outstanding project management skills; ability to independently drive complex initiatives to resolution in a fast‑paced environment.
Ability to manage multiple priorities while maintaining strong attention to detail and sound business judgment.
Proficiency in Microsoft Excel, Word, PowerPoint, and similar tools.
Ability to travel for occasional in‑person payer and team meetings.
U.S. work authorization.
Demonstrated alignment with “Oaky” values: Radiating positive energy, Assuming good intentions, Creating an unmatched patient experience, Driving clinical excellence, Taking ownership and delivering results, Being relentlessly determined.

Nice To Haves

People leadership experience, including managing, developing, and mentoring teammates within matrixed and rapidly evolving organizations.

Responsibilities

Manage health plan relationships, contract negotiations and implementation, and ongoing operations and performance with national and regional Medicare Advantage health plans.
Advance the value-based care model by ensuring strong, collaborative, and sustainable relationships with health plan partners.
Proactively identify opportunities to demonstrate Oak Street Health’s value.
Negotiate and manage complex value-based contracts.
Resolve operational issues with urgency and accountability.
Partner with cross-functional teams (executives, clinical, finance, data, population health, membership, engagement, legal, field leaders) to drive successful contract implementations.
Monitor contract performance.
Communicate strengths, risks, and opportunities to senior leadership.
Continuously improve workflows.
Potentially lead and develop team members.
Represent Oak Street Health with executive presence internally and externally.