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Manager, Payer Partnerships and Contracting

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , Chicago

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Category:
Health and Beauty

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Contract Type:
Employment contract

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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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