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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. 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.
Job Responsibility:
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
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
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
Requirements:
Bachelor’s degree along with 3+ 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 have:
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
What we offer:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching