Lead Director, Network Management
Salary undisclosed
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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
The Lead Director of value based contracting and business development is responsible for managing the portfolio of value based agreements in the mountain and Arizona markets. The position reports directly to the market Chief Network Officer, however has a matrix reporting relationship into the Mountain and Arizona Executive Directors. This role is responsible for understanding the overall provider strategy in the market while collaborating with the executive directors in meeting network market performance objectives through our value based relationships with providers.
The role will also develop a strong rapport with the Chief Medicare Officer and support the market Medicare Advantage Strategy and annual bid process. The position will work closely with the Engagement Management resources responsible for optimizing performance of our VBC agreements to ensure that the contract is aligned with company objectives, provider capabilities and how to optimize provider performance.
This is an individual contributor role.
Required Qualifications
A minimum of ten years provider contracting experience required including all forms especially value based agreements.
Knowledge of CMS value based contracting methodologies and adoption.
Strong communication skills including the use of PowerPoint and being comfortable presenting internally and externally to leadership.
Analytical experience with claims data and cost and quality performance analytics preferred.
Knowledge and experience with HEDIS measures.
Preferred Qualifications
Population health experience with the ideal candidate having experience working in health care delivery setting or with clinicians responsible for performing under value based agreements.
Value based contracting experience across all segments including commercial, Medicare Advantage, and Medicaid.
Preferred location: Arizona
Education
Bachelor's Degree and/or professional equivalent experience. Master's Degree preferred.
Pay Range
The typical pay range for this role is:
$100,000.00 - $231,540.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
We anticipate the application window for this opening will close on: 12/27/2024
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
The Lead Director of value based contracting and business development is responsible for managing the portfolio of value based agreements in the mountain and Arizona markets. The position reports directly to the market Chief Network Officer, however has a matrix reporting relationship into the Mountain and Arizona Executive Directors. This role is responsible for understanding the overall provider strategy in the market while collaborating with the executive directors in meeting network market performance objectives through our value based relationships with providers.
The role will also develop a strong rapport with the Chief Medicare Officer and support the market Medicare Advantage Strategy and annual bid process. The position will work closely with the Engagement Management resources responsible for optimizing performance of our VBC agreements to ensure that the contract is aligned with company objectives, provider capabilities and how to optimize provider performance.
This is an individual contributor role.
Required Qualifications
A minimum of ten years provider contracting experience required including all forms especially value based agreements.
Knowledge of CMS value based contracting methodologies and adoption.
Strong communication skills including the use of PowerPoint and being comfortable presenting internally and externally to leadership.
Analytical experience with claims data and cost and quality performance analytics preferred.
Knowledge and experience with HEDIS measures.
Preferred Qualifications
Population health experience with the ideal candidate having experience working in health care delivery setting or with clinicians responsible for performing under value based agreements.
Value based contracting experience across all segments including commercial, Medicare Advantage, and Medicaid.
Preferred location: Arizona
Education
Bachelor's Degree and/or professional equivalent experience. Master's Degree preferred.
Pay Range
The typical pay range for this role is:
$100,000.00 - $231,540.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
We anticipate the application window for this opening will close on: 12/27/2024
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
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