At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Oak Street Health is seeking a visionary, enterprise-minded leader to serve as Vice President, Managed Care Operations. This executive will own the national strategy and execution for all payer contracting, credentialing, and performance management, driving Oak Street Health’s growth through innovative value-based care models and full-risk arrangements.
Key Responsibilities
· Develop and execute a national value-based care contracting strategy aligned with enterprise growth objectives.
· Lead the design and implementation of next-generation payment models, including full-risk and capitation arrangements.
· Oversee governance for value-based care, including contract templates, policies, and procedures for regional teams.
· Direct all payor contracting activities across national and regional payors.
· Design low-cost network structures and financial arrangements that optimize quality and efficiency.
· Collaborate across the OSH operational teams including but not limited to Stars, delegated functions like CM and UM, Medical Economics, and growth.
· Ensure seamless integration of contract requirements other data systems into VBC reporting and reconciliation workflows.
· Implement provider tiering frameworks and targeted interventions to improve outcomes and reduce cost.
· Partner with interoperability teams to develop a comprehensive provider data-sharing strategy.
· Monitor contract performance, analyze financial implications, and communicate risk insights to senior leadership.
· Develop dashboards and reporting tools for contract performance and compliance.
· Drive continuous improvement initiatives and workflow optimization.
· Partner with finance, clinical operations, and legal teams to operationalize agreements.
· Serve as primary liaison with health plans, fostering collaborative relationships and advancing innovative care models.
· Represent Oak Street Health in high-level discussions with payors and industry stakeholders.
· Manage and mentor a high-performing team responsible for contracting and credentialing.
· Build organizational capability to support rapid growth and transformation.
Qualifications
· 15+ years of healthcare experience, including contracting, medical economics, and provider partnerships.
· Deep expertise in value-based contracting models with proven success in full-risk arrangements.
· Existing relationships with network contracting leaders at major payors will be highly valued
· Strong understanding of financial levers in risk-based arrangements and provider incentive design.
· Experience with delegated risk models and governance.
· Knowledge of Medicare Advantage, CMS/CMMI programs, and Stars performance optimization.
· Proven success in matrixed organizations undergoing rapid growth and transformation.
· Executive presence with excellent communication and stakeholder management skills.
· Strong analytics and financial acumen; ability to perform root cause analysis.
· Experience with interoperability strategies and provider data-sharing frameworks.
· Familiarity with credentialing processes and compliance requirements.
· Advanced proficiency in contract management systems and reporting tools.
· Ability to travel for in-person provider and payor meetings.
Pay Range
The typical pay range for this role is:
$250,000-$350,000
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.
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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
We anticipate the application window for this opening will close on: 12/05/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.