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Sr. Associate Managed Care Operations

CVS Health
Treehouse, United States, United Statesfull_timeVerifiedPosted 18 Apr 2025
💰 $112,200/yr($46,988/yr$112,200/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: Senior Analyst, Managed Care Operations

Location: 30 W. Monroe St. Chicago IL, 60603

Oak Street Health is a rapidly growing, innovative company of community-based healthcare centers that provides higher quality health and wellness care that improves outcomes, manages medical costs, and provides an unmatched experience for adults on Medicare in medically underserved communities.  By providing holistic, comprehensive and integrated care right in our patient's communities, we can keep our patients healthy and then reinvest cost savings in further care for those same communities and others. Since 2013, Oak Street Health has brought its singular approach to tens of thousands of people in Illinois, Indiana, Michigan, Pennsylvania, and Ohio.  At 40 locations, and with an ambitious growth trajectory, Oak Street Health is attracting and cultivating team members who embody Oak Street values and are passionate about the mission to rebuild healthcare as it should be.

For more information, visit http://www.oakstreethealth.com

Role Description

The Managed Care Operations Senior Analyst will immediately become an important contributor to 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 startup environment, while bringing his/her experience and innovative ideas. Highly successful candidates will have existing familiarity with managed care systems/processes.

Responsibilities include:

  • Independently manage programs within Managed Care Operations, responsible for development and execution of projects across a variety of areas
  • Manage strategy and execution of OSH Preferred Network, including management of a project plan, analytics, and oversight of field-based activities
  • 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
  • Support OSH relationships with health plans, including contracting, implementation and ongoing accountability management
  • Support delegated activities as required (e.g. identification of business requirements for system implementation, oversight of vendor driven activities)
  • Other duties as assigned based on background and areas of interest

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
  • Strong MS Excel skills
  • US work authorization
  • Someone who embodies being "Oaky". What it means to be OAKY:
  • Creating an unmatched patient experience
  • Driving clinical excellence
  • Taking ownership and driving for results
  • Being scrappy
  • Radiating positive energy
  • Assuming good intentions

Preferred experience:

  • 3-5+ years of experience in healthcare industry (preferably in managed care function e.g. Medicare Advantage, Managed Medicaid, IPA)
  • Familiarity with HMO operations, experience with multiple health plan functional areas a plus

Why Oak Street?

Oak Street Health offers our coworkers advantages that can't be found in other clinical workplaces, including:

  • The opportunity to be part of a hyper-growth company, focused on changing the future of healthcare.
  • Paid vacation/sick time, retirement options, as well as health, vision and dental benefits
  • HQ (the "Treehouse") is located in the heart of Downtown/Chicago Loop
  • High levels of responsibility and rapid advancement
  • Supportive and fun culture
  • Opportunity to

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Company

CVS Health

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