Senior Manager, Value Based Contracts 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 or equivalent experience
- 7+ years of experience in healthcare analytics and managed care.
- Extensive knowledge of VBC strategies, provider contracting, and regulatory impacts.
- Advanced communication and presentation skills.
- Knowledge of marketplace healthcare delivery and understanding of provider relationships.
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 the most complex/high value initiatives and/or highest risk and revenue generating provider systems, networks and value-based relationships
- 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
- Influence and/or assist 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
- Responsible for advising 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
Senior
