Sr Mgr., Value Based Contracting (Practice ...

Job DescriptionBusiness Overview:The mission of Aetna Better Health of LA (ABHLA) is to build a healthier world through better health, better care, and lower costs. We have embraced the quintuple aim as our guiding framework that integrates population health, equity, cost reduction, patient experience, and care team wellbeing into everything we do. We are leading the change by challenging the status quo with new technologies, VBP models, innovation, and integration of behavioral and physical health; and attracting and inspiring our local team by unlocking the power of our people to transform health care.Position Summary:This is a full-time telework opportunity in Louisiana. Qualified candidates must reside within the assigned region/one of the following parishes: Avoyelles, Catahoula, Concordia, Grant, LaSalle, Rapides, Vernon, or Winn.The Sr. Manager, Value Based Contracting (Practice Transformation Specialist), analyzes clinical and financial data to provide support for value-based provider partners and to achieve practice transformation. This position assists the provider partners with closing clinical gaps in care and addressing health disparities for health equity. You will also work to identify additional providers that are ready for value-based contracting and coordinate with Quality and Case Management partners. Travel is anticipated up to 15% of the time within the assigned region.Fundamental Components: Sets the direction of the strategic business plan and translates into vision for staff/others. As a business leader, influences all stakeholders to support key projects/programs to ensure positive outcomes that deliver on results. Drives change in order to improve performance results, organization effectiveness and/or systems/quality/services (e.g., policies, processes or systems). Identifies gaps in processes or organization and challenges self and others to develop and implement solutions. Directs accountability for impact to SG&A - Ensures accurate prioritization of key projects/programs within purview. Has ultimate accountability for project management services being delivered including organization's budget and/or financial implications.Pay RangeThe typical pay range for this role is:Minimum: 75,400Maximum: 158,300Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications Candidate must reside in Louisiana/region 6. 3+ years managed care experience. 3+ years' experience in value-based contracting and/or quality. 3+ years' knowledge and experience with HEDIS measures. 1+ years' project management experience. Demonstrated proficiency with personal computer, keyboard navigation, and MS Office Suite applications (i.e., MS Teams, Project, SharePoint, Word, Outlook, Excel) Ability to travel up to 20% of the time. Must have access to reliable transportation, valid LA driver's license and proof of vehicle insurance. Flexible and able to work outside of core hours, Monday-Friday, 8am-5pm, to meet business needs.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications Clinical degree is a plus Previous leadership experience. Bachelor's degree preferred. Exceptional communication, collaboration, and relationship management skills. Medicaid/Medicare experience is a plus. Provider experience is a plus.EducationBachelor's degree or combination of equivalent education and work experience.Business OverviewBring your heart to CVS HealthEvery 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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.

Created: 2025-11-15