Sr Manager – Provider Delegation
| Company | CVS Health |
|---|---|
| Location | Morrisville, NC, USA, Austin, TX, USA, Tampa, FL, USA, Eagan, MN, USA, Canoga Park, Los Angeles, CA, USA, Dallas, TX, USA, Chicago, IL, USA, Franklin, TN, USA, Kansas City, MO, USA, Scottsdale, AZ, USA, Ambler, PA, USA, Hartford, CT, USA, Oklahoma City, OK, USA, New York, NY, USA, Phoenix, AZ, USA, Denver, CO, USA, Portland, ME, USA, Atlanta, GA, USA |
| Salary | $82940 – $182549 |
| Type | Full-Time |
| Degrees | |
| Experience Level | Senior, Expert or higher |
Requirements
- Experience working with clinical leaders within the organization as well as with external providers
- 7-10 years’ work experience in a healthcare setting
- Effective problem solving and decision-making skills
- Demonstrates collaboration and teamwork
- Presents a growth mindset (agility and developing yourself and others) skills
- Strong execution and delivery (planning, delivering, and supporting) skills
Responsibilities
- Project Management functions to successfully implement new delegates which includes collaborating with others to resolve inquiries, challenges and to help influence successful delegation setup outcomes. Includes evaluating potential delegates for capabilities that support operational & clinical successes
- Partner with network VBS Delegation team to work directly with provider delegates
- Support on-going quality of implemented delegates to ensure accuracy & builds processes/programs that drives improvements
- Improves total cost of care tied to delegation outcomes
Preferred Qualifications
- Experience and/or extensive knowledge of the Aetna UM operational functions & related system functionality
- Knowledge of Care Management functions/activities
- Clinical background