Senior Manager, Strategic Planning -Provider Network Management, CVS Health

CVS Health

Location:
United States

Category:
Finance

Contract Type:
Not provided

Salary:

67900.00 - 182549.00 USD / Year

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Job Description:

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Job Responsibility:

Supports network teams in provider negotiations and financial risk for Commercial, Medicare, Medicaid, and IFP businesses
Work directly with network, provides current and relevant data to support provider negotiations
Communicate network performance analysis to Market leaders, noting drivers impacting pModel and SAIs (Scoreable Action Initiatives) and potential actions to mitigate costs across multiple Lines of Business
Utilize various data sources to identify market drivers and potential opportunities to improve market performance, e.g., HCIC (Health Care Information Center), pModel, SAI Database, QAT, COIN
Evaluate contract deviations and contract outliers, drive for improvement in costs to better position Aetna in the marketplace
Review and interpret medical transparency data
summarize and communicate potential contracting opportunities to network
Leverage colleagues and business partners to identify and resolve issues as they arise
Collaborate across the organization to ensure complete projects

Requirements:

5+ years of analytical experience in network, contracting, pricing, finance and/or market with proficiency utilizing Microsoft Excel to include pivot tables, VLOOKUP’s, and etc.
Ability to navigate web-based tools to gather information and turn into action
5+ years Healthcare industry experience
Adept at execution and delivery (planning, delivering, and supporting) skills
Strong communication skills in a highly matrixed environment

What we offer:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Additional Information:

Job Posted:
June 07, 2025

Expiration:
June 30, 2025

Employment Type:

Fulltime

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Senior Manager, Strategic Planning -Provider Network Management

CVS Health

Location:United States

Category:Finance

Contract Type:Not provided