Full-Time

Lead Director

Posted on 10/29/2024

CVS Pharmacy

CVS Pharmacy

10,001+ employees

Retail pharmacy and healthcare services provider

Healthcare

Compensation Overview

$100k - $231.5kAnnually

+ Bonus + Commission + Equity Award Program

Senior, Expert

Company Historically Provides H1B Sponsorship

Tampa, FL, USA + 6 more

More locations: Chicago, IL, USA | Ambler, PA, USA | Hartford, CT, USA | New York, NY, USA | Phoenix, AZ, USA | Irving, TX, USA

Requires in-office presence on Tuesday, Wednesday, and Thursday near an Aetna Hub.

Category
Strategy Development
Business Development
Business & Strategy
Requirements
  • 10 - 12 years of experience in Payer and Provider Value based care.
  • Experience in Value Based Care financial models and value based care contracting/negotiations.
  • Experience in Risk-based arrangements and Value-Based care in government services (Medicare Advantage, Medicaid, ACA).
  • Proven negotiation skills including extensive experience leading Medicare advantage percent of premium/delegation deals.
  • Ability to manager multiple priorities and leading multiple complex negotiations at a time.
  • Adept at execution and delivery (planning, delivering & supporting skills
  • Experience working in a highly matrixed environment.
Responsibilities
  • Responsible for growing and maintaining strategic relationships with national provider partners with a focus on executing enterprise wide initiatives.
  • Leads contracting efforts including negotiating contract deal terms and support the development and implementation of value-based contract relationships, serving as SME in support of business strategies across multiple lines of business, including Medicare Advantage, Medicaid, ACA, and Commercial.
  • Develops relationships with providers and executes on go-to-market strategies and tactics around VBC risk deals to ensure attainment of network expansion and adequacy targets.
  • Collaborates cross-functionally with various stakeholders internally and/or externally to scope/define projects, documentation of contractual information, and review/analysis of reports as part of VBS risk arrangement activities.
  • Partners with cross functional teams, business areas, business segments to ensure all workflow processes and interdependences are identified and addressed.
  • Provides network development/expansion, provider relationships, and refinement activities in support of cross-market network management.
  • Lead design, development, management, and/or implementation of strategic network configurations and integration activities as related to value based care risk deals.
  • Develop thought leadership on potential incentive/model strategies to advance primary care models, virtual care support, and care delivery integration models.

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, beauty items, and general merchandise. CVS Health also functions as a pharmacy benefits manager, serving over 75 million plan members, and has a senior pharmacy care business that assists more than one million patients each year. This integrated approach allows CVS Health to deliver affordable health management solutions, improving access to quality care and health outcomes while aiming to reduce overall healthcare costs. Unlike many competitors, CVS Health combines retail pharmacy services with clinical care and pharmacy benefits management, making it a significant player in the healthcare sector with a goal of helping individuals achieve better health.

Company Stage

Debt Financing

Total Funding

N/A

Headquarters

Woonsocket, Rhode Island

Founded

1963

Growth & Insights
Headcount

6 month growth

-2%

1 year growth

-2%

2 year growth

-2%
Simplify Jobs

Simplify's Take

What believers are saying

  • CVS offers at-home health testing kits, aligning with consumer demand for convenience.
  • The company provides free cash-back services, attracting customers amid rising fees elsewhere.
  • CVS's digital vaccine scheduler enhances customer convenience for flu and COVID-19 vaccinations.

What critics are saying

  • At-home testing kits may reduce in-store foot traffic for health services.
  • Sony's advanced hearing aids could challenge CVS's market share in this category.

What makes CVS Pharmacy unique

  • CVS Health offers a comprehensive pharmacy network with 9,600 retail locations.
  • The company integrates pharmacy benefits management with over 75 million plan members.
  • CVS Health provides specialty pharmacy services, enhancing its healthcare service offerings.

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