Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

• Acts as the primary resource for assigned profile of providers (i.e. individual providers, groups, IPAs, and/or large healthcare systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative activities;

• Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets

• Cultivate productive relationships with providers ; - Deliver presentations and trainings to providers, both virtually and in-person;- Serve as the point of contact for designated provider profile and/or territory;- Resolve issues/concerns in an efficient and timely manner, including resolution of complex claims;- Support ad hoc reporting needs;- Identify and advocate for opportunities to improve the provider experience;- Provider recruitment; possible contract negotiation for new or assigned providers.

Required Qualifications

• Minimum 2 years working knowledge of business segment specific codes, products, and terminology, including knowledge of both Commercial and Medicare Advantage business- Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills with proven ability to influence and collaborate with providers and partners at all levels.- Proven ability to manage complex provider partnerships and ability to amicably resolve provider disputes.- Ability to evaluate data and identify action plans or solutions based on data;

• Comfortable presenting to small and large groups

• Be an active team contributor

• Travel up to 20%

Preferred Qualifications - Advanced use of Excel/Word/Adobe

• Knowledge of Aetna reporting tools e.g. EPDB, PRMS etc.

-Preferred location: CaliforniaEducation Bachelor's degree preferred/specialized training/relevant professional qualification

Pay Range

The typical pay range for this role is:

$63,300.00 - $139,200.00

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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 05/31/2024

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.