CVS Health
Network Development and Contracting (Value Based Care), Medicaid FL/LA
CVS Health, Los Angeles, California, United States,
Network Development and Contracting (Value Based Care), Medicaid FL/LA
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.Position SummaryAetna is recruiting for a Senior Manager, National Value Based Care (VBC) Development who will support innovative and strategic provider Medicaid relationships as part of the National VBC Business Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market and to support segment leaders with growing our value-based care portfolio.You will make an impact by:Supporting efforts focused on growing and maintaining strategic relationships with national Medicaid provider partners with a focus on executing enterprise-wide initiatives.Supporting contracting efforts including negotiating contract deal terms and supporting the development and implementation of value-based contract relationships, serving as SME in support of business strategies across the Medicaid segment.Developing relationships with providers and executing on go-to-market strategies and tactics around VBC risk deals to ensure attainment of network expansion and adequacy targets.Collaborating cross-functionally with various stakeholders internally and/or externally to scope/define projects, documentation of contractual information, and review/analysis of reports as part of VBC risk arrangement activities.Partnering with cross functional teams, business areas, and business segments to ensure all workflow processes and interdependencies are identified and addressed.Providing network development/expansion, provider relationships, and refinement activities in support of cross-market network management.Supporting design, development, management, and/or implementation of strategic network configurations and integration activities as related to value-based care risk deals.Developing thought leadership on potential incentive/model strategies to advance primary care models, virtual care support, and care delivery integration models.Required QualificationsA minimum of 5 years of experience in Payer and Provider Value based care.Experience in Value Based Care financial models and value-based care contracting/negotiations.Ability to manage multiple priorities and lead multiple complex negotiations simultaneously.Adept at execution and delivery (planning, delivering, and supporting) skills.Experience working in a highly matrixed environment.Preferred QualificationsExperience in Medicaid Risk-based arrangements and Value-Based care.Proven negotiation skills including extensive experience leading Medicaid value-based care deals.EducationBachelor's degree or equivalent professional work experience.Pay RangeThe typical pay range for this role is: $67,900.00 - $149,328.00. 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.In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long-term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year.We anticipate the application window for this opening will close on: 11/23/2024.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.About us
Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.
#J-18808-Ljbffr
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.Position SummaryAetna is recruiting for a Senior Manager, National Value Based Care (VBC) Development who will support innovative and strategic provider Medicaid relationships as part of the National VBC Business Development team. You will work collaboratively across the Network and Medicaid organization to ensure speed to market and to support segment leaders with growing our value-based care portfolio.You will make an impact by:Supporting efforts focused on growing and maintaining strategic relationships with national Medicaid provider partners with a focus on executing enterprise-wide initiatives.Supporting contracting efforts including negotiating contract deal terms and supporting the development and implementation of value-based contract relationships, serving as SME in support of business strategies across the Medicaid segment.Developing relationships with providers and executing on go-to-market strategies and tactics around VBC risk deals to ensure attainment of network expansion and adequacy targets.Collaborating cross-functionally with various stakeholders internally and/or externally to scope/define projects, documentation of contractual information, and review/analysis of reports as part of VBC risk arrangement activities.Partnering with cross functional teams, business areas, and business segments to ensure all workflow processes and interdependencies are identified and addressed.Providing network development/expansion, provider relationships, and refinement activities in support of cross-market network management.Supporting design, development, management, and/or implementation of strategic network configurations and integration activities as related to value-based care risk deals.Developing thought leadership on potential incentive/model strategies to advance primary care models, virtual care support, and care delivery integration models.Required QualificationsA minimum of 5 years of experience in Payer and Provider Value based care.Experience in Value Based Care financial models and value-based care contracting/negotiations.Ability to manage multiple priorities and lead multiple complex negotiations simultaneously.Adept at execution and delivery (planning, delivering, and supporting) skills.Experience working in a highly matrixed environment.Preferred QualificationsExperience in Medicaid Risk-based arrangements and Value-Based care.Proven negotiation skills including extensive experience leading Medicaid value-based care deals.EducationBachelor's degree or equivalent professional work experience.Pay RangeThe typical pay range for this role is: $67,900.00 - $149,328.00. 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.In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long-term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year.We anticipate the application window for this opening will close on: 11/23/2024.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.About us
Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.
#J-18808-Ljbffr