Senior Manager, National Specialty Value Based Care Provider Performance, CVS Health

CVS Health

Location:
United States

Category:
-

Contract Type:
Employment contract

Salary:

67900.00 - 199144.00 USD / Year

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Job Description:

Implements Value Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution processes, and collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships.

Job Responsibility:

Develops and implements internal and external strategies to effectively assess and advance the performance of healthcare providers within the company's network
Develops and maintains provider scorecards and performance reports to track and communicate performance metrics to internal stakeholders, executives, and network providers
Monitors and evaluates provider performance metrics, such as quality indicators, patient satisfaction scores, cost efficiency measures, and adherence to clinical guidelines
Communicates with providers to develop and implement initiatives aimed at enhancing quality of care, patient outcomes, and operational efficiency
Contributes to business objectives by collaborating with the network development team to identify providers that align with the company's strategic goals and objectives
Manages operational aspects of the team, and implements workforce and succession plans to successfully achieve business goals
Guides management for individual performance evaluations aimed to provide critical feedback for skills development and depth of work area experience

Requirements:

A minimum of 5 years related experience with provider engagement, relations, or account management
Working knowledge of Medicare contracts
An understanding of value based contracts, how they work, what is the value
Strong presentation skills, the ability to communicate effectively
Mastery of problem solving and decision making skills
Strong MS Office skills
Bachelor's degree preferred or a combination of professional work experience and education

Nice to have:

The ability to use data to tell a story
Mastery of growth mindset (agility and developing yourself and others) skills

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
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
November 25, 2025

Expiration:
December 20, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Senior Manager, National Specialty Value Based Care Provider Performance