Job Description
Acts as the primary resource for assigned profile of
assigned provider territory to establish, oversee, and
maintain provider risk management and positive
relationship and supports high value initiative activities.
- Drives the implementation of internal and external
solutions
to achieve provider satisfaction, cost targets, network
growth, and efficiency targets.
- May have limited contract negotiation responsibilities for
assigned providers.
Pay Range
The typical pay range for this role is:
Minimum: 60,300
Maximum: 126,600
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
- 8+ years' experience in business segment specific
environment servicing or managing nonstandard
relationships with providers with exposure to benefit plan
design and/or contract interpretations.
- 3-5 years' experience with business segment specific
policy, benefits, plan design and language.
- Working knowledge of business segment specific codes,
products, and terminology.
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues 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, religious belief, or other legally recognized reasons that prevents them from being 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 or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
Preferred Qualifications
- Working knowledge of Medicare Global Risk, Value based contracting, products, and terminology.
- Strong Verbal and written communication, interpersonal,
problem resolution and critical thinking skills with proven
ability to influence and collaborate with providers and
partners at all levels.
- Proven advanced problem solving skills, proven
independent worker and self-starter.
- Demonstration of meeting leadership skills and meeting
management.
- Demonstration of experiential or educational project
management skills.
- Ability to evaluate data and identify action plans or
solutions based on data.
- Ability to handle conflict management. Ability to educate
an outcome or position even if unfavorable.
- Bilingual preferred but not required
Education
Bachelor's Degree or equivalent combination of education
and experience.
Business Overview
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. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
no requirements Employment Type: OTHER