Lead Director, Provider Performance-Georgia and Gulf States, Remote

CVS Health Value-Based Contracting Position

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. This position will support primarily Georgia and the Gulf States markets, given the current VBC footprint and overall complexity of operations in these areas. Role will support VBC contracting efforts, stronger payer-provider relationships and improved financial performance. This position is accountable for the strategic alignment, operational success, and performance management of assigned provider relationships with the most complex / high value initiatives and / or highest risk and revenue generating provider systems, network and value-based relationships. Ensures that assigned value-based contract arrangements are functioning successfully and working to improve quality of care while reducing costs. The position is remote and can be in any US location, preference will be given to candidates that reside in Georgia.

Key Responsibilities :

• Provider Relationship Management - Understands the terms of the value-based contract arrangements to answer questions / address issues. Responsible for establishing and maintaining productive, professional relationships.
• Educates internal and external parties as needed to ensure compliance with contract terms and expectations.
• Coordinates and prepares for external provider meetings and ensures that the most impactful internal subject matter experts (clinical, pharmacy, financial, analytical, etc.) are utilized to optimize performance.
• Assists with 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.
• Drives improvement in deal performance for multiple lines of business, complex models, and / or advanced national provider partners.
• Leverages reporting / data to monitor contract performance against financial, clinical, cost and efficiency targets. Adept at identifying issues or trends in reporting.
• Identifies improvement opportunities. Provides strategy consultation on actions / tactics to make needed improvements.

Required Qualifications :

Education :

Pay Range :

The typical pay range for this role is : $100,000.00 - $231,540.00 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 people :

We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

We anticipate the application window for this opening will close on : 11 / 23 / 2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. 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.