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.
Overview
Supports the strategic alignment, operational success, and performance management of VBC arrangements. Provides strategic oversight for VBC analytics initiatives across multiple regions or business units. Influences design and implementation of innovative VBC models. Ensures that arrangements are functioning successfully and works to improve quality of care while reducing costs.
Responsibilities
- Lead strategic projects for VBC model development and performance evaluation.
- Partner with senior leadership to align analytics with organizational goals.
- Oversee complex forecasting and predictive modeling for VBC programs. Perform complex financial assessments.
- Drive process improvements to enhance efficiency and accuracy of analytics.
- Partner with Clinical, Network, Actuarial to establish and maintain productive, professional relationships with the most complex/high value initiatives and/or highest risk and revenue generating provider systems, networks and value-based relationships.
- Leverage reporting/data to monitor contract performance against financial, clinical, cost and efficiency targets. Drive provider performance; partner with local market to ensure pathways to performance against business objectives.
- Serve as SME for VBC analytics and mentor managers and analysts. Assist with onboarding and problem solving.
Required Qualifications
- 7+ years experience in a healthcare delivery systems role.
Preferred Qualifications
- Extensive knowledge of managed care and how provider reimbursement policies relate to the control of medical claims costs.
- Full comprehension of provider contracts and the potential impact the regulatory/legislative environment has on reimbursement strategies.
- Advanced communication/presentation skills.
- Understanding of internal and external database applications.
- Knowledge of market-place delivery (understanding of provider relationships).
- Experience with PowerBI/Tableau.
Education
- Bachelors degree required.
Pay Range
The typical pay range for this role is:
$82,940.00 - $182,549.00
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.
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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills Required
- 7+ years experience in a healthcare delivery systems role.
- Bachelor's degree.
- Extensive knowledge of managed care and provider reimbursement policies.
- Comprehension of provider contracts and regulatory/legislative reimbursement impacts.
- Advanced communication and presentation skills.
- Understanding of internal and external database applications.
- Knowledge of marketplace delivery and provider relationships.
- Experience with PowerBI/Tableau.
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.
