Specialty VBC Deal Owner

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.

Requisition Job Description

Accountable for the strategic alignment, operational success and performance management of Specialty Value Based Care (VBC) arrangements. Ensures that arrangements are functioning successfully and works to improve quality of care while reducing costs.
 

• Responsible for establishing and maintaining productive, professional relationships with the most complex/high value population health initiatives and/or highest risk and revenue generating members with chronic disease in value-based relationships
• Understand the terms of the VBC arrangements to answer questions & address issues
• Sets the tone for the relationship
• Educates internal and external parties as needed to ensure compliance with contract terms and expectations
• Assists with workflow development and strategies to integrate data and reporting
• Works independently to manage relationships and identify/implement solutions to problems
• Drives provider performance and partners with local market and clinical to ensure pathways to performance against business and team objectives
• Leverages reporting/data to monitor contract performance against  financial, clinical, cost and efficiency targets
• Able to perform complex financial assessments
• Identifies areas where improvements need to be made
• Able to advise/counsel network partners on value-based negotiations, deal terms and best practices
• May be assigned to represent the business/function on special projects

Required Qualifications

The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to all aspects of the company’s business, as well as significant interaction with all the business leaders. The candidate will be expected to have the following key attributes:

• Bachelor's degree or equivalent experience
• 3+ years of experience with model development
• Adept at execution and delivery (planning, delivering, and supporting) skills
• Ability to pull data using SAS, SQL or Google Cloud
• Adept at business intelligence
• Adept at collaboration and teamwork. 
• Problem solving and decision-making skills
• Growth mindset (agility and developing yourself and others) skills 
• Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias

Preferred Qualifications

• Experience in Medicare space and/or population health management
• Experience in Risk-Based Arrangements and Value-Based Care financial models

Education

• Bachelor's degree preferred/specialized training/relevant professional qualification.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $159,120.00

This 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. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an empl