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Manager, Payer Partnerships and Contracting

CVS Health
Treehouse, United States, United Statesfull_timeVerifiedPosted 21 Apr 2025
💰 $145,860/yr($66,330/yr$145,860/yr)

About the role

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Company: Oak Street Health

Title: Manager, Payer Partnerships and Contracting

Location: Downtown Chicago (30 W. Monroe St.) or Remote

Role Description

The Manager, Payer Partnerships and Contracting will immediately become an important leader on the Oak Street Health team. The ideal candidate will have strong relationship skills, be self-directed, and enjoy working with a team in a fast-paced environment, while bringing their experience and innovative ideas. Highly successful candidates will have existing familiarity with managed care systems/processes and will have an expressed interest in managing a team as they continue career progression.

Core Responsibilities:

  • Serve as organizational lead in OSH relationships with at least two large health plans, including contracting, implementation, operations, and ongoing management of the partnerships

  • Approach health plan relationships with the mindset of a "business owner"

    • Project-manage and own issues to resolution

    • Develop opportunities as they arise

    • Relentlessly pursue opportunities to express the value that Oak Street delivers for health plan partners

  • Proactively & professionally move contract negotiations forward, with strong understanding of key contract terms and the impact they have on Oak Street's financial and operational performance

  • Develop deep understanding of OSH financial operations/workflows and their key intersection points with health plan processes

  • Analyze financial implications of existing and potential future health plan contracts, quantifying and communicating organizational risk to senior leadership

  • Lead payer implementations independently

  • Collaborate with other teams at OSH to drive strategic initiatives with payers and to resolve outstanding payer issues

  • Proactively develop and share ideas for how to improve OSH workflows

  • Lead conversations proactively and strategically with executives and field leadership on value-add activities and initiatives with payers

  • Support delegated activities as required (e.g. identification of business requirements for system implementation, oversight of vendor driven activities)

  • Manage and develop Associates on the Managed Care Operations team 

  • Other duties as assigned 

What we're looking for

Required qualifications include:

  • Bachelor's degree

  • Excellent communication, facilitation, and interpersonal skills with the ability to be personable yet persistent

  • Excellent problem-solving and analytical skills and impeccable business judgment

  • Ability to independently pursue and implement solutions to complex problems

  • Ability to manage multiple priorities in a fast-paced environment

  • Project management skills

  • People management skills and/or a history of managing direct reports

  • Strong MS Excel, Word, and Powerpoint skills

  • U.S. work authorization

  • Someone who embodies being "Oaky"

What does being "Oaky" look like?

  • Radiating positive energy

  • Assuming good intentions

  • Creating an unmatched patient experience

  • Driving clinical excellence

  • Taking ownership and delivering results

  • Being relentlessly determined

Why Oak Street Health?

Oak Street Health is on a mission to "Rebuild healthcare as it should be'', providing personalized primary care for older adults on Medicare, with the goal of keeping patients healthy and livin

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Company

CVS Health

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