Sr Manager, Provider Performance
Top focus
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do.
Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. As a Senior Manager of Provider Performance, your role is pivotal in guiding healthcare providers toward achieving optimal outcomes in value-based care, ultimately improving patient health and well-being while effectively managing costs.
Critical will be developing and implementing strategic initiatives to increase provider readiness from traditional fee-for-service models to value-based care models. Here's an overview of the responsibilities and key skills associated with this role: Core Responsibilities: 1.
Performance Analysis: - Conduct in-depth analysis of contractual performance metrics related to value-based care, including utilization measures, benchmarking, cost-effectiveness, and patient outcomes. 2. Data Interpretation: - Interpret and translate complex data into actionable insights for healthcare providers, helping them understand and improve their performance. 3.
Financial Management: - Monitor financial performance related to value-based care contracts and identify opportunities for cost savings, risk adjustment and revenue enhancement. 4. Patient Engagement: - Develop strategies to actively involve patients in their care and treatment plans. - Implement patient education programs to promote health and prevent avoidable healthcare utilization. - Provide constructive feedback and coaching to healthcare providers, offering guidance on how to enhance their practices to align with value-based care goals. 5.
Technology Utilization: - Evaluate and recommend technology solutions that support value-based care initiatives, including electronic health record (EHR) optimization and other relevant tools. - Identify and implement innovative technologies and solutions that support value-based care delivery and improve patient outcomes. 6.
Educational Support: - Develop and deliver training programs to educate healthcare providers and staff on best practices in value-based care delivery, reporting suite, and program goals. 7. Risk Stratification: - Assist in the development and implementation of risk stratification models to identify high-risk patients and tailor care interventions accordingly. 8.
Patient Engagement Strategies: - Collaborate on the development of strategies to actively engage patients in their care, promoting preventive measures and improving overall health outcomes. Key Skills: 1. Analytical Skills: - Proficient in analyzing healthcare data to identify patterns, trends, and areas for improvement. 2.
Communication Skills: - Effective communication skills to convey complex healthcare data and insights to diverse audiences. - Ability to independently facilitate meetings with executive stakeholders - Report on quarterly performance, internally and externally. 3.
Problem-Solving: - Strong problem-solving skills to address challenges and barriers to successful value-based care implementation. 4. Interpersonal Skills: - Ability to build relationships and collaborate with healthcare providers, administrators, and other stakeholders 5.
Knowledge of Value-Based Care Models: - In-depth understanding of various value-based care models and their implications on healthcare delivery. 6. Change Management: - Skill in managing and facilitating change within healthcare organizations. - Routine operational huddles will be mandated to ensure ancillary departments have ongoing intervention 7.
Technology Proficiency: - Familiarity with healthcare information systems and technologies supporting value-based care. 8. Educational Facilitation: - Ability to develop and deliver educational programs to diverse healthcare audiences - Provide education and training programs for internal staff, including healthcare providers and administrative teams, to ensure a smooth transition to value-based care
Qualifications
- Bachelor's degree or commensurate work experience in consulting, business administration, or economics. 5+ years of experience in healthcare data analytics, administration, or a related role.
- In-depth knowledge of healthcare regulations, value-based care, and performance metrics.
- Strong analytical and problem-solving skills, with the ability to interpret complex data sets and identify improvement opportunities.
- Excellent communication and interpersonal skills to collaborate effectively with providers, team members, and stakeholders at all levels.
- Proven experience in designing and delivering training programs or educational initiatives.
- Proficiency in data management and analysis tools, such as Excel or data visualization software.
- Detail-oriented, organized, and able to manage multiple projects simultaneously.
- Ability to work independently, demonstrate initiative, and drive results in a fast-paced environment.
- Position is remote – secure home network required and familiar with Microsoft Office products and VPN Familiarity with electronic health record systems and healthcare information technology. – NOT REQUIRED, BUT NICE TO HAVE To apply, please submit your resume, cover letter
- any relevant certifications or references.
- We look forward to reviewing your application and discussing how your expertise can contribute to our organization's success.
- 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
- This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
- The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
- Additional details about available benefits are provided during the application process and on Benefits Moments .
- We anticipate the application window for this opening will close on: 08/15/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.