Manager, VBC Analytics
About The Position
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 position is accountable for the strategic alignment, operational success and performance management of Medicare Advantage Value-Based Contracts (VBC), by ensuring that VBC arrangements function successfully and work to improve quality of care while reducing costs. This role will serve as the analytics partner for VBC contracts, working with both internal and external partners, to provide medical cost and outcomes focused analytical research, financial modeling, and business decision support.
Requirements
- Bachelor’s degree along with 5+ years related experience
- Prior Healthcare experience
- Experience with Microsoft Office suite, especially Excel
- Experience with SQL, working with large and detailed data sets
- Strong communication skills
- Strong analytic and time management skills
- Demonstrates success in collaborating with others to meet/exceed expectations
Nice To Haves
- Experience in Medicare Advantage and/or Value Based Contracting
- Ability to remain flexible with ever changing priorities
- Strong collaboration and organization skills working across various teams
- Ability to communicate effectively with all levels
Responsibilities
- Understand the terms of the VBC arrangements to answer questions, address issues, and provide analytical support
- Responsible for establishing and maintaining productive, professional relationships with value-based partners
- Sets the tone for the VBC relationships for both internal and external partners
- Educates internal and external parties as needed to ensure compliance with contract terms and expectations
- Assists with workflow development and strategies to integrate data and reporting
- Works independently to manage relationships and identify/implement solutions to problems
- Drives provider performance and partners with local market to ensure pathways to performance against business and team objectives
- Leverages reporting/data to monitor contract performance against financial, clinical, cost and efficiency targets
- Able to perform complex financial assessments
- Identifies areas where improvements need to be made
- Advocates-for and drives strategy consultation on actions/tactics to make those improvements
- Able to advise/counsel network partners on value-based negotiations, deal terms and best practices
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Manager
