Manager, Medicaid Value-Based Care Operations

CVS Health • Augusta, ME • 1h ago

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

**This position is an individual contributor role

Position Summary**

Designs enterprise-wide and/or cross-functional solutions to address business problems, supporting Medicaid value based operational strategies. This work results in initiatives that significantly impact organizational strategy, enabling the organization to be competitive in the marketplace and effectively serve its customers. Partners with business owners to optimize the achievement of strategic business objectives, to include profitable growth and improved organizational effectiveness.

Assists in managing the day-to-day complex business consultation services to support the organization's goals and objectives.

Implements processes and assignments for research, collecting, analyzing, and compiling data and information for the business consulting department reports.

Assesses files, reports, and financial records, and manages department record retention.

Directs individuals to develop a high degree of customer service by fielding internal and external inquiries, finding resolutions, or redirecting as appropriate.

Confers internally and externally with clients and senior management regarding the organization's goals and objectives.

Coaches the internal and external department point of contact ensuring concise communication with employees, stakeholders, and members of the senior management.

Delivers advice to the organization regarding current business trends and best practices by preparing analyses for senior management, stakeholders, and clients.

Implements processes to performance appraisals within the business consulting department ensuring compliance and continuous improvement.

Helps establish and implement strategic review processes ensuring continuous improvement, compliance, and high-performance standards are upheld.

Required Qualifications

3-5 years experience, including Medicaid focused work

Adept at problem solving and decision making skills

Adept at collaboration and teamwork

Adept at growth mindset (agility and developing yourself and others) skills

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

Preferred Qualifications

Experience with Medicaid value-based programs is a plus.

Background in operationalization of value based programs and resources.

Education

Bachelor's degree or equivalent professional work experience.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $159,120.00

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments (https://learn.bswift.com/cvshealth-mainland) .

We anticipate the application window for this opening will close on: 09/05/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

Similar Jobs

Advanced Associate, Customer Service (Quality & Training) - Hourly

Pearson • Augusta, ME • 51min ago

Management & Administrative

Under the direction of the Supervisor, Training and Quality, the Quality & Training Coordinator is responsible for Operations training and documentation, coaching employees, monitoring calls/chats/emails for quality,...

51min ago

Go to Apply

Director, Product Management (AI Platform)

Evolent • Augusta, ME • 9h ago

Management & Administrative

Work at Home Full time JR-916628 Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties...

9h ago

Go to Apply

Sr Director, Product Management (AI Platform)

Evolent • Augusta, ME • 9h ago

Management & Administrative

Work at Home Full time JR-916659 Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties...

9h ago

Go to Apply

Regional Sales Manager - Transmission & Distribution (Southeast)

Ralliant • Augusta, ME • 23h ago

Management & Administrative

Remote The Regional Sales Manager - Transmission & Distribution (T&D ) is responsible for managing and driving sales growth and customer engagement for Qualitrol's portfolio of monitoring, protection, and digital...

23h ago

Go to Apply

Project Manager

EnviroVantage, Inc. • Augusta, ME • 1d ago

Management & Administrative

This job was posted by https://joblink.maine.gov : For more information, please see: https://joblink.maine.gov/jobs/1377605 As the leading New England Environmental Specialty & Demolition Contractor with over 35 year...

1d ago

Go to Apply

Senior SAP Application Consultant, Manufacturing

NTT America, Inc. • Augusta, ME • 2d ago

Management & Administrative

Thank you for your interest in NTT DATA Business Solutions! We are thrilled to offer an exceptional compensation package that includes competitive salaries, comprehensive health and dental benefits, Flexible Paid Time Of...

2d ago

Go to Apply

Customer Account Manager 2

UKG • Augusta, ME • 2d ago

Management & Administrative

Why UKG: At UKG, the work you do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions of workers start and end their days with our workfo...

2d ago

Go to Apply

Sr. Consultant, Business Performance Partner - Global Supply Chain

Cardinal Health • Augusta, ME • 3d ago

Management & Administrative

US-Nationwide-FIELD Full time 20186431 Job Summary We're seeking a Senior Consultant, Business Performance Partner to support Global Supply Chain transformation initiatives. This individual will leverage project manageme...

3d ago

Go to Apply

Principal Program Manager - LV Operations

Oracle • Augusta, ME • 3d ago

Management & Administrative

Job Description Job Description Oracle Cloud Infrastructure (OCI) is seeking a Principal Program Manager (IC5) to lead the PMO and delivery-operations model for strategic low-voltage (LV) infrastructure programs supporti...

3d ago

Go to Apply

Manager - Plant Operations & Facilities

MaineGeneral Health • Augusta, ME • 3d ago

Management & Administrative

Augusta, ME Full time R17218 Job Summary: MaineGeneral Health is presently seeking a manager to join out Plant Operations team. The Alfond Center for Health is a new, state of the art space that would get any plant opera...

3d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)