Position SummaryThis position is accountable for the strategic alignment, operational success and performance management of Medicare Advantage Value-Based Contracts (VBC), by ensuring that VBC arrangements function successfully and work to improve quality of care while reducing costs. This role will serve as the analytics partner for VBC contracts, working with both internal and external partners, to provide medical cost and outcomes focused analytical research, financial modeling, and business decision support.
Responsibilities- Understand the terms of the VBC arrangements to answer questions, address issues, and provide analytical support
- Responsible for establishing and maintaining productive, professional relationships with the most complex/high value initiatives and/or highest risk and revenue generating provider systems, networks and value-based relationships
- Sets the tone for the VBC relationships for both internal and external partners
- Educates internal and external parties as needed to ensure compliance with contract terms and expectations
- Influence and/or assist workflow development and strategies to integrate data and reporting
- Works independently to manage relationships and identify/implement solutions to problems
- Drives provider performance and partners with local market to ensure pathways to performance against business and team objectives
- Leverages reporting/data to monitor contract performance against financial, clinical, cost and efficiency targets
- Able to perform complex financial assessments
- Identifies areas where improvements need to be made
- Advocates-for and drives strategy consultation on actions/tactics to make those improvements
- Responsible for advising network partners on value-based negotiations, deal terms and best practices
Minimum Requirements- Bachelor's degree or equivalent experience
- 7+ years of experience in healthcare analytics and managed care.
- Extensive knowledge of VBC strategies, provider contracting, and regulatory impacts.
- Advanced communication and presentation skills.
- Knowledge of marketplace healthcare delivery and understanding of provider relationships.
Pay RangeThe typical pay range for this role is:
$75,400.00 - $165,954.00
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.
Great benefits for great peopleWe 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: 06/15/2026
