Manager, Payer Partnerships and Contracting, CVS Health

CVS Health

Location:
United States, Chicago

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

66330.00 - 145860.00 USD / Year

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Job 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.

Job Responsibility:

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 and 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.

Requirements:

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 we offer:

Mission-focused career impacting change and measurably improving health outcomes for Medicare patients
paid vacation, sick time, and investment/retirement 401K match options
health insurance, vision, and dental benefits
opportunities for leadership development and continuing education stipends
new centers and flexible work environments
opportunities for high levels of responsibility and rapid advancement
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 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.

Additional Information:

Job Posted:
May 14, 2025

Employment Type:

Fulltime

Work Type:

On-site work

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Manager, Payer Partnerships and Contracting