CVS Health

Specialty and Provider Network Manager-Value Based Care

CVS Health

Remote
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you passionate about improving healthcare outcomes and reducing costs? Do you have experience managing specialty and provider networks? If so, CVS Health is seeking a talented individual like you to join our team as a Specialty and Provider Network Manager for our Value Based Care division. In this role, you will play a crucial role in driving value-based partnerships with specialty providers to enhance patient care and drive financial success. We are looking for a strategic leader with exceptional communication and negotiation skills, a deep understanding of healthcare networks, and a strong commitment to delivering high-quality care. Join us in our mission to transform the healthcare landscape and make a positive impact on the lives of millions of patients.

  1. Develop and maintain relationships with specialty providers to establish and grow value-based partnerships.
  2. Manage and negotiate contracts with specialty providers to ensure optimal cost savings and quality outcomes.
  3. Collaborate with internal teams to identify and implement strategies for enhancing patient care and reducing costs.
  4. Monitor and analyze network performance data to identify areas for improvement and make recommendations for action.
  5. Stay informed on industry trends and best practices related to specialty and provider networks.
  6. Communicate effectively with internal and external stakeholders, including senior leadership and provider partners.
  7. Develop and implement initiatives to drive financial success and improve the overall performance of specialty networks.
  8. Lead and facilitate meetings with provider partners to discuss network performance and identify opportunities for collaboration.
  9. Ensure compliance with regulatory requirements and company policies.
  10. Coach and mentor team members, providing guidance and support to help them achieve their goals and objectives.
  11. Collaborate with cross-functional teams to identify and implement solutions for complex network issues.
  12. Develop and maintain strong relationships with key stakeholders, including providers, payers, and other industry partners.
  13. Proactively identify potential risks and develop mitigation strategies to ensure the success of specialty networks.
  14. Represent the company at industry events and conferences to promote CVS Health's value-based care initiatives.
  15. Continuously evaluate and improve processes and procedures to drive efficiency and effectiveness within the specialty network management function.
Where is this job?
This job opening is listed as 100% remote
Job Qualifications
  • Bachelor's Degree In Healthcare Administration, Business, Or A Related Field

  • Minimum Of 5 Years Experience In Healthcare Network Management, Preferably In A Value-Based Care Setting

  • Strong Knowledge Of Value-Based Contracting And Reimbursement Models

  • Proficiency In Data Analysis And Reporting, With Experience Using Tools Such As Tableau Or Sql

  • Excellent Communication And Negotiation Skills, With The Ability To Build And Maintain Relationships With Providers And Other Stakeholders.

Required Skills
  • Risk Management

  • Quality Improvement

  • Strategic Planning

  • Data Analysis

  • Contract Negotiation

  • network management

  • Value based care

  • Performance monitoring

  • Utilization management

  • Healthcare Regulations

  • Provider Relations

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Teamwork

  • Active Listening

  • Adaptability

  • Problem-Solving

Compensation

According to JobzMall, the average salary range for a Specialty and Provider Network Manager-Value Based Care is between $90,000 and $120,000 per year. However, this can vary depending on factors such as location, company size, and years of experience.

Additional Information
CVS Health is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMarch 4th, 2025
Apply BeforeMay 10th, 2026
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About CVS Health

CVS Health Corp. engages in the provision of health care services. It operates trough the following segments: Pharmacy Services, Retail or Long Term Care, and Corporate. The Pharmacy Services segment offers pharmacy benefit management solutions. The Retail or Long Term Care segment includes selling of prescription drugs and assortment of general merchandise. The Corporate segment involves in providing management and administrative services.

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