Vice President, Managed Care Operations, CVS Health

CVS Health

Location:
United States, Chicago

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

250000.00 - 350000.00 USD / Year

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Job Description:

Oak Street Health is seeking a visionary, enterprise-minded leader to serve as Vice President, Managed Care Operations. This executive will own the national strategy and execution for all payer contracting, credentialing, and performance management, driving Oak Street Health’s growth through innovative value-based care models and full-risk arrangements.

Job Responsibility:

Develop and execute a national value-based care contracting strategy aligned with enterprise growth objectives
Lead the design and implementation of next-generation payment models, including full-risk and capitation arrangements
Oversee governance for value-based care, including contract templates, policies, and procedures for regional teams
Direct all payor contracting activities across national and regional payors
Design low-cost network structures and financial arrangements that optimize quality and efficiency
Collaborate across the OSH operational teams including but not limited to Stars, delegated functions like CM and UM, Medical Economics, and growth
Ensure seamless integration of contract requirements other data systems into VBC reporting and reconciliation workflows
Implement provider tiering frameworks and targeted interventions to improve outcomes and reduce cost
Partner with interoperability teams to develop a comprehensive provider data-sharing strategy
Monitor contract performance, analyze financial implications, and communicate risk insights to senior leadership
Develop dashboards and reporting tools for contract performance and compliance
Drive continuous improvement initiatives and workflow optimization
Partner with finance, clinical operations, and legal teams to operationalize agreements
Serve as primary liaison with health plans, fostering collaborative relationships and advancing innovative care models
Represent Oak Street Health in high-level discussions with payors and industry stakeholders
Manage and mentor a high-performing team responsible for contracting and credentialing
Build organizational capability to support rapid growth and transformation.

Requirements:

15+ years of healthcare experience, including contracting, medical economics, and provider partnerships
Deep expertise in value-based contracting models with proven success in full-risk arrangements
Existing relationships with network contracting leaders at major payors will be highly valued
Strong understanding of financial levers in risk-based arrangements and provider incentive design
Experience with delegated risk models and governance
Knowledge of Medicare Advantage, CMS/CMMI programs, and Stars performance optimization
Proven success in matrixed organizations undergoing rapid growth and transformation
Executive presence with excellent communication and stakeholder management skills
Strong analytics and financial acumen
ability to perform root cause analysis
Experience with interoperability strategies and provider data-sharing frameworks
Familiarity with credentialing processes and compliance requirements
Advanced proficiency in contract management systems and reporting tools
Ability to travel for in-person provider and payor meetings.

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
benefit solutions that address the different needs and preferences of colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access.

Additional Information:

Job Posted:
November 22, 2025

Expiration:
December 05, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Vice President, Managed Care Operations

CVS Health

Location:United States, Chicago

Category:Health and Beauty

Contract Type:Employment contract