Network Development and Contracting, Specialty

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.

Aetna is recruiting for a Senior Manager, Business Development who will partner with business development leaders to build innovative and strategic provider relationships as part of the National Value Base Care (VBC) Business Development team.

You will work collaboratively across the Network organization to ensure speed to market and to support segment leaders with growing our specialty and innovative VBC portfolio.

You will make an impact by :

Supporting the process for identifying, evaluating, and completing contracting with specialty and innovative provider partners.

Developing relationships with leaders of specialty or early stage provider organizations to design to execute on strategies for growth.

Develop and educate leaders on specialty landscapes and what financial models are being used across the industry.

Partnering with finance on the development of financial models and VBC contracts to support portfolio growth.

Partnering with Network and Segment teams to ensure deployment of VBC strategies are executed timely

Perform market competitive analysis, engage contracting and clinical teams to create innovative value based payment concepts.

Will work with cross functional teams to create and initiate model solution development, pilot models, and ensure initial ROI for enterprise scaling

Serve as a liaison among internal customers, operations, actuary, product, and analytic teams to ensure reimbursement initiatives meet the needs of internal and external customers.

Required Qualifications

5+ years of experience in Payer and Provider Value based care.

Experience in Value Based Care financial models.

Experience in Risk-based arrangements and Value-Based care in government services

Adept at execution and delivery (planning, delivering, and supporting) skills.

Experience working in a highly matrixed environment.

Ability to work Hybrid Model (in office Tuesday / Wednesday / Thursday) if reside near an Aetna Hub or continue existing WAH arrangement

Pay Range

The typical pay range for this role is :

$79,200.00 - $174,200.00

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.

This position also includes an award target in the company’s equity award program.

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.