Sr. Associate, Payer Relations and Contracting

CVS HealthChicago, IL
$46,988 - $112,200Remote

About The Position

Founded in 2012, Oak Street Health specializes in helping older adults stay healthy and live life more fully. Our innovative care model goes beyond typical primary care to provide patients with comprehensive preventive care, including personalized wellness plans, integrated health services, and educational and social activities to support overall health and well-being. At more than 200 locations, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about the mission to rebuild healthcare as it should be. The Senior Associate of Payer Relations and Contracting will immediately become an important contributor to the Oak Street Health team. The ideal candidate will have direct experience in project managing payer contracts, managing relationships with health plans on behalf of a provider organization (or vice versa), updating large trackers, owning payer issue resolution activities in a timely fashion, and enjoy working with a team in a fast-paced environment. Highly successful candidates will have existing familiarity with value-based managed care systems and processes.

Requirements

  • Bachelor's degree
  • At least 5 years of experience in supporting payer-provider relationships
  • Proven track record of strong project management skills
  • Excellent communication, facilitation, and interpersonal skills with the ability to be personable yet persistent
  • Ability to manage multiple priorities in a fast-paced environment
  • Strong problem-solving and analytical skills
  • Strong MS Excel skills
  • Quick learner and adaptable
  • US work authorization
  • Someone who embodies our values: Put people first, Rise to the challenge, Join forces, Create simplicity, Inspire trust, Champion safety and quality

Nice To Haves

  • Direct experience in supporting payer-provider relationships in a value-based care environment
  • Experience in project managing contracts
  • Experience analyzing complex and large datasets

Responsibilities

  • Support OSH relationships with health plans, including contracting, implementation and ongoing accountability management
  • Own the preparation and administration of internal and external meetings, as well as lead, facilitate, and actively contribute as a thought leader in various meetings
  • Communicate with stakeholders to move issues/tasks forward and notify all required OSH levels of any operational issue
  • Develop deep understanding of OSH operations / workflows and their key intersection points with health plan processes to be effective in triaging and project managing issues to resolution
  • Content expert on contract terms, own the contract ticket management process, and propose redlines to be discussed/approved internally
  • Diligently monitor and promptly capture updates on systems and trackers that rely on payer data
  • Support delegated activities as required (e.g. identification of business requirements for system implementation, oversight of vendor driven activities)
  • Other duties as assigned based on background and areas of interest

Benefits

  • Paid vacation/sick time
  • retirement options
  • health, vision and dental benefits
  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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