Network Development and Contracting (Value Based Care) Medicaid-Oklahoma

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.Candidate must sit regionally aligned to the state of OklahomaPosition 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:

Support efforts focused on growing and maintaining strategic relationships with national Medicaid provider partners with a focus on executing enterprise wide initiatives.

Support contracting efforts including negotiating contract deal terms and support the development and implementation of value-based contract relationships, serving as SME in support of business strategies across the Medicaid segment

Develops relationships with providers and executes on go-to-market strategies and tactics around VBC risk deals to ensure attainment of network expansion and adequacy targets.

Collaborates 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.

Partners with cross functional teams, business areas, business segments to ensure all workflow processes and interdependences are identified and addressed.

Provides network development/expansion, provider relationships, and refinement activities in support of cross-market network management.

Support design, development, management, and/or implementation of strategic network configurations and integration activities as related to value based care risk deals.

Develop thought leadership on potential incentive/model strategies to advance primary care models, virtual care support, and care delivery integration models.

Required Qualifications

A 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 leading multiple complex negotiations at a time

Adept at execution and delivery (planning, delivering, and supporting) skills

Experience working in a highly matrixed environment.

Preferred Qualifications

Experience in Medicaid Risk-based arrangements and Value-Based care

Proven negotiation skills including extensive experience leading Medicaid value based care deals

Education

Bachelor's degree or equivalent professional work experience.

Pay RangeThe typical pay range for this role is:$67,900.00 - $182,549.40This 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.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. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.For more detailed information on available benefits, please visit Benefits | CVS Health (https://jobs.cvshealth.com/us/en/benefits)We anticipate the application window for this opening will close on: 10/11/2024Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.We are an equal opportunity and affirmative action employer. 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.