Senior Provider Performance Manager - Remote

Overview

The Senior Provider Performance Manager at CVS Health is responsible for strategic alignment and operational success in managing value-based provider contracts, ensuring quality care while reducing costs.

In Short

• Accountable for performance management of value-based providers.
• Establishes and maintains relationships with providers.
• Educates stakeholders on contract terms.
• Coordinates external provider meetings.
• Drives provider performance and integrates data reporting.
• Monitors contract performance against targets.
• Identifies areas for improvement in contract performance.
• Consults on strategies for performance improvement.
• Requires 6+ years of experience in healthcare or managed care.
• Strong understanding of value-based contracting preferred.

Requirements

• 6+ years of experience in health plans or provider organizations.
• Ability to influence and collaborate with stakeholders.
• Experience in a matrixed environment.
• Good interpersonal and communication skills.
• Knowledge of healthcare and insurance industry.
• Understanding of Provider Contracting and Plan Design.
• Bachelor's degree preferred.

Benefits

• Competitive pay and benefits package.
• 401(k) plan with company matching.
• Employee stock purchase plan.
• No-cost wellness programs.
• Tuition assistance and family leave options.
• Flexible work schedules.
• Confidential counseling and financial coaching.