Manager, Payer Partnerships and Contracting

Reposted 10 Hours Ago
Be an Early Applicant
Monroe, Chicago, IL, USA
In-Office
66K-146K Annually
Mid level
Fitness • Healthtech • Retail • Pharmaceutical
The Role
The Manager, Payer Partnerships and Contracting leads Medicare Advantage health plan relationships, negotiates contracts, and oversees operations and performance to enhance value-based care.
Summary Generated by Built In

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Oak Street Health is seeking a talented and accomplished leader to serve as Manager, Payer Partnerships and Contracting. This leader will own Oak Street Health’s partnerships with national and regional Medicare Advantage health plans, including managing health plan relationships, contract negotiations and implementation, and ongoing operations and performance.

This position plays a critical role in OSH’s mission and growth by advancing our value‑based care model by ensuring strong, collaborative, and sustainable relationships with our health plan partners.

This leader approaches payer relationships with a “business owner” mindset, proactively identifying opportunities to demonstrate Oak Street Health’s value, negotiating and managing complex value‑based contracts, and resolving operational issues with urgency and accountability. The role partners closely with cross‑functional teams internally - including company executives, clinical, finance, data, population health, membership, engagement, legal, and field leaders - to drive successful contract implementations, monitor contract performance, communicate strengths, risks and opportunities to senior leadership, and continuously improve workflows. The position also may include responsibility for leading and developing team members and representing Oak Street Health with executive presence internally and externally.

Required Qualifications

  • 4-5+ years of experience managing payer-provider relationships and leading value‑based contracting and operations, preferably within a value‑based primary care organization or Medicare Advantage payer organization

  • Proven success negotiating and managing value‑based contracts, with a strong understanding of key financial and operational terms and provider incentive design

  • Strong financial and analytical acumen, including experience evaluating contract economics, monitoring performance, performing root‑cause analysis, and communicating accordingly to senior leadership

  • Demonstrated understanding of Medicare Advantage operations, including Stars performance optimization and membership attribution

  • Experience with payer‑provider data‑sharing frameworks, provider roster management and credentialing processes, and contract management systems and reporting tools

  • Exceptional communication, facilitation, and stakeholder management skills, with executive presence and the ability to be personable yet persistent

  • Outstanding project management skills; ability to independently drive complex initiatives to resolution in a fast‑paced environment

  • Ability to manage multiple priorities while maintaining strong attention to detail and sound business judgment

  • Proficiency in Microsoft Excel, Word, PowerPoint, and similar tools

  • Ability to travel for occasional in‑person payer and team meetings 

  • U.S. work authorization

  • Demonstrated alignment with “Oaky” values: Radiating positive energy, Assuming good intentions, Creating an unmatched patient experience, Driving clinical excellence, Taking ownership and delivering results, Being relentlessly determined

Preferred Qualifications

  • People leadership experience, including managing, developing, and mentoring teammates within matrixed and rapidly evolving organizations.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$66,330.00 - $145,860.00

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. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on
Benefits Moments.

We anticipate the application window for this opening will close on: 06/21/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Skills Required

  • 4-5+ years of experience managing payer-provider relationships and leading value-based contracting and operations
  • Proven success negotiating and managing value-based contracts
  • Strong financial and analytical acumen including evaluating contract economics
  • Exceptional communication, facilitation, and stakeholder management skills
  • Outstanding project management skills to drive complex initiatives
  • Proficiency in Microsoft Excel, Word, PowerPoint
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The Company
HQ: Woonsocket, RI
119,959 Employees
Year Founded: 1963

What We Do

CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.

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