This position is no longer available
Remote (Global) Full-time

CVS Health / Oak Street Health is hiring a Provider Contracting Senior Manager, National Specialty Value Based Care Partnerships

About the Role

At CVS Health, we're crafting a holistic health ecosystem around every individual while assembling a team of committed professionals passionate about revolutionizing healthcare delivery. As America's premier health solutions enterprise, we connect with millions through local presence, digital platforms, and over 300,000 purpose-driven colleagues – delivering care with unprecedented connectivity, convenience, and compassion. Position Summary Aetna is seeking a Senior Manager, Value Based Contractor who will collaborate with business development and network executives to construct innovative and strategic provider partnerships within the National Value Based Solutions Specialty Partnership team. You'll work seamlessly across Network and Clinical organizations to accelerate market entry and support segment leaders focusing on Specialty Medicare Advantage and Medicaid Value-Based Care portfolio. You will drive impact by: · Facilitating processes for identifying, evaluating, and finalizing contracts with Specialty and Medicaid provider partners. · Cultivating relationships with leaders of specialty chronic kidney, oncology, polychronic/complex care, and emerging specialty domains to design growth strategies. · Develop and educate leaders on specialty landscapes and prevalent financial models across the industry. · Collaborating with finance to create financial models and Value-Based Care contracts supporting portfolio expansion. · Coordinating with Network and Segment teams to ensure timely VBC strategy deployment. · Conducting market competitive analysis and engaging contracting/clinical teams to generate innovative payment concepts. · Collaborating with cross-functional teams to create, initiate, and pilot model solutions while ensuring initial enterprise scaling ROI. · Serving as a critical liaison among internal customers, operations, actuarial, product, and analytic teams to ensure reimbursement initiatives meet comprehensive stakeholder needs. Required Qualifications · 5+ years experience in value-based care contracting, provider relations, provider operations, and/or solutions. · Demonstrated expertise in Value Based Care financial models. · Experience with Risk-based arrangements and Value-Based care in government services. · Proficient in execution and delivery skills (planning, implementing, supporting). · Strong organizational and detail-oriented capabilities in complex matrix environments. · Ability to translate intricate data into comprehensible information. Education Requirements · Bachelor's degree preferred/specialized training/relevant professional qualification. Pay Range The typical compensation spectrum for this role is: $67,900.00 - $199,144.00 This range represents base compensation for the job grade, with actual offer depending on experience, education, geography, and relevant factors. The position includes potential bonus, commission, short-term incentive programs, and equity award opportunities. Our workforce reflects our community, committed to creating an inclusive environment where every colleague feels valued and belongs. Exceptional Benefits We pride ourselves on comprehensive compensation, investing in colleagues' physical, emotional, and financial wellness through: · Competitive medical plans, 401(k) with company matching, employee stock purchase program. · Complimentary wellness initiatives including screenings, health management programs, confidential counseling. · Flexible benefit solutions addressing diverse needs: paid time off, flexible schedules, family leave, dependent care resources, tuition assistance. Application window closes: 12/22/2025 Qualified candidates with arrest or conviction records will be considered per applicable legal standards.

Required Skills
Value-Based CareProvider ContractingFinancial ModelingHealthcare StrategyRisk ManagementCross-Functional CollaborationData AnalysisHealthcare PolicyNegotiationNetwork Development
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About company
CVS Health / Oak Street Health

CVS Health is the nation's leading health solutions company, reaching millions of Americans through local presence, digital channels and more than 300,000 purpose-driven colleagues. Oak Street Health is an innovative network of neighborhood primary care centers.

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Job Details
Category management
Posted 4 months ago