CVS Health Value Based Care Product Senior Manager Fully Remote in WORK FROM HOME, Massachusetts
Title: Value Based Care, Senior ManagerLocation: Fully Remote with 20% travelCVS Kidney Care, a new CVS Health company, has been launched as part of the company’s portfolio of initiatives to transform health care and make a real difference in the lives of people impacted by chronic kidney disease. At CVS Kidney Care, we put the patient at the heart of everything we do. We are based on a culture of courage that rewards innovative thinking and bold action; we seek people who are ready for an entrepreneurial environment where ownership is empowered at all levels, ambiguity is actively embraced to accelerate innovation, and where all colleagues are committed to act as one team in service to our goals. If you have a customer-first mindset, strong background with value-based care, program design, and risk and care measures, and desire the opportunity to have a meaningful impact on the people we serve, CVS Kidney Care might just be the next best step in your career.The Senior Manager, Value Based Care Products will be accountable for the ideation and development of value-based care products offered to payors, regional nephrology practices & dialysis providers seeking to better manage their CKD and ESRD patient populations. The Senior Manager will be responsible for defining the overall value proposition, detailing specific products and payment arrangements, setting clinical outcome targets based on clinical guidance, developing new network capabilities around population health, building business cases, and working closely with actuarial support to model and price the solution. This individual will also be responsible for launching value-based solutions and testing new capabilities in the market in partnership with marketing and sales. The Senior Manager, Value Based Care Product will play a critical role in shaping the overall value-based care product roadmap. Primary responsibilities: Create business cases for risk-based arrangements and manage them through the development life cycle, including financial approval, detailed measurement approach, and ongoing performance monitoring Partner with payor, nephrologist & dialysis provider business & clinical teams to co-develop mutually beneficial offerings Develop a value-based care roadmap that captures current offerings and long-term innovative enhancements, including competitive landscape Define user stories and product requirements to set priorities for cross-functional teams, including clinical, finance, actuarial, underwriting, operations, marketing, sales and analytics Provide ongoing development and performance updates to Kidney Care and CVS Health leadership
• Bachelor’s Degree• 3 years of experience in designing programs to enable success under Value Based Care• 3 years of detailing specific products and payment arrangements, setting clinical outcome targets• 3 years of Payor Provider Contracting Strategy and Design along with the Analytics & Financial Acumen as it relates to value-based care incentive models
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.
If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.
• Start-up company or division experience • 1 year of Agile Product Development preferred• Experience with regional nephrology practices & dialysis providers • Ability to collaborate with diverse and complex stakeholders, including interacting, gaining credibility, building relationships with, and influencing others at all levels of the organization, including senior leadership • Self-motivation, entrepreneurialism, high energy, and the ability to successfully function in a high-demand, performance-driven environment with significant exposure to senior leadership• Experience developing new products and/or services with demonstrated results • Self-starter: ability to take ownership over processes• Excellent teamwork skills and ability to collaborate in a highly matrixed environment • Master’s Degree (MBA/MPH)
Bachelor's Degree requiredMaster's Degree (MBA/MPH) preferred
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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