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.

Position Summary

Aetna is recruiting for a Senior Manager, Value Based Contractor who will partner with business development and network leaders to build innovative and strategic provider relationships as part of the National Value Based Solutions Specialty Partnership team. You will work collaboratively across the Network and Clinical organizations to ensure speed to market and to support segment leaders with growing our Specialty and Medicaid VBC portfolio.

 

You will make an impact by:

·         Supporting the process for identifying, evaluating, and completing contracting with Specialty and Medicaid provider partners.

·         Developing relationships with leaders of specialty or Medicaid provider organizations to design and execute on strategies for growth.

·         Develop and educate leaders on specialty landscapes and what financial models are being used across the industry.

·         Partnering with finance on the development of financial models and VBC contracts to support portfolio growth.

·         Partnering with Network and Segment teams to ensure deployment of VBC strategies are executed timely.

·         Perform market competitive analysis, engage contracting and clinical teams to create innovative value-based payment concepts.

·         Work with cross functional teams to create and initiate model solution development, pilot models, and ensure initial ROI for enterprise scaling.

·         Serve as a liaison among internal customers, operations, actuary, product, and analytic teams to ensure reimbursement initiatives meet the needs of internal and external customers.

 

Required Qualifications

·         5+ years of experience in value-based care in contracting, provider relations, provider operations and/or solutions.

·         Experience in Value Based Care financial models.

·         Experience in Risk-based arrangements and Value-Based care in government services

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

·         Strong organization and detail skills working in a highly matrixed environment.

·         Ability to present and translate complex data into digestible information.

 

Education Requirements

·         Bachelor’s degree preferred/specialized training/relevant professional qualification.

Pay Range

The typical pay range for this role is:

$67,900.00 - $199,144.00

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.  This position also includes an award target in the company’s equity award program. 
 

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 employee stock purchase plan.

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 05/15/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.