Accountable for the strategic alignment and operational success of assigned VBC provider relationships. Ensures that assigned VBC arrangements are functioning successfully and working to improve quality of care while reducing costs.
Coordinates a cross-functional team of resources in order to implement and maintain VBC arrangements
Understands the terms of the VBC arrangements to answer questions/address issues
Responsible for establishing and maintaining a productive, professional relationships
Sets the tone for the relationship
Educates internal and external parties as needed to ensure compliance with contract terms and expectations
Coordinates provider meetings and optimizes interactions (clinical meetings, JOCs, Informatics discussions, etc.)
Assists with workflow development and strategies to integrate data and reporting
Deal Performance Management
Responsible for driving improvement in deal performance
Leverages reporting/data to monitor contract performance against financial, clinical, cost and efficiency targets
Identifies areas where improvements need to be made
Provides strategy consultation on actions/tactics to make those improvements
3+ years experience in a health plan, health system or provider organization, ACO / managed-care experience preferred
Experience managing matrixed staff with ability to leverage non-directs to complete tasks.
Proven ability to interact with, influence and collaborate with colleagues at all levels of an organization.
Good interpersonal and communication skills
Ability to form strong client relationships.
Understanding of Provider Contracting, Plan Design and Product Offerings
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.
- If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
- If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.
5+ years of project management experience in a health plan, health system or provider organization
5+ years of client management
Proven track record managing complex projects and or programs that resulted in cost savings.
Bachelor's Degree or equivalent combination of education and experience.
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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