Subject Matter Expert, Managed Care & Payor Contracting

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. Position Summary The Strategic Proposal Management (SPM) organization is solely responsible for developing and executing all proposals and proposal-related activity for CVS Health. Our team is responsible for creating proposals that clearly demonstrate that CVS Health is uniquely positioned to deliver significant benefits to health plan sponsors through effective cost management solutions and innovative programs that engage plan members and promote healthier and more cost-effective behaviors. Through our unique suite of assets, CVS Health is reinventing pharmacy to offer innovative solutions that help people on their path to better health. We effectively manage pharmaceutical costs and improve health care outcomes through our pharmacy benefit management (PBM), mail order and specialty pharmacy division, CVS Caremark® Pharmacy Services, our CVS/pharmacy® retail stores, our retail-based medical clinic subsidiary, MinuteClinic® and our online retail pharmacy, CVS.com®. We are focused on enhancing access to care, lowering overall health care costs for plan members and payors, and improving health outcomes. The main responsibility of the position involves managing all phases of our PBM proposals process including: Formatting proposals to meet internal marketing specifications Responding to RFP questions using a database of internal Subject Matter Expert reviewed conten

Become a part of our caring community Humana Healthy Horizons is looking for a Value-Based Programs Lead who will support successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. You will lead the beginning-to-end operational support of specialty Medicaid value-based payment (VBP) models in alignment with segment strategy and goals. The Value-Based Programs Lead will be a subject matter expert in VBP and have advanced technical knowledge and experience. Develop new innovative VBP models for range of provider types, such as behavioral health, maternity, specialists, and social determinants of health, creating glide paths to move providers from volume to value. Align scope of work with roadmap for new VBP model development to ensure compliance with Medicaid contractual requirements and RFP commitments. Analyze financial, utilization, and performance data to identify opportunities to drive improvements in quality and/or reductions in total cost of care. Creation of VBP payment strategies and model design, such as developing payment model logic, performance metrics and benchmarks, and financial terms, which align with segment goals. Design and contribute to development of provider reporting packages to help providers understand their overall and detailed performance. Partner with finance team to conduct impact analysis and modeling for new VBP models. Collaborate with team members and matrixed teams to operationalize and rollout of new VBP models. Contribute to developing solutions to operational gaps. Monitor VBP model performance KPIs to identify opportunities to enhance model design based on internal and external feedback and performance data. Ability to translate strategy into models that can be piloted and scaled across markets. <

Are you interested in working directly for a single sponsor while having the security and additional career opportunities that working for a global CRO can bring? Our team says it’s the best of both worlds…. ClinChoice is searching for an Area/Local Safety Officer Consultant for 12 months Contract with possibility of extension to join one of our clients. The Area Safety Officer is responsible for ensuring that the local operating company (LOC) Safety activities related to all products are managed in compliance with local regulations and company policies/procedures at a local, regional, and global levels and in accordance with any product vigilance agreements with third party business partners . ClinChoice is a global full-service CRO with a strong focus on quality, professional development, and supportive culture. As a client-facing role, we are looking for confident candidates with the ability to work independently whilst establishing a high-trust environment with the client’s counterparts. Main Job Tasks and Responsibilities: Safety and PV System Management Perform the quality check of the PV cases and ensure that the English translation has been properly performed. Keep up to date a local tracker of the individual safety reports. Be the subject matter expert at local level on the case management activities. Closely follow the respect of the regulatory timelines of the submission of the safety reports to the local health authorities and communicate any potential delay to the appropriate teams. Establish and maintain local indicators on the compliance of the safety reports submission. Oversee the training of the local employees and the business partners. Maintain KPI and present them during regular team meetings. Perform regulatory monitoring for impact on vigilance activities and responsibilities. Perform reconciliation with other departments (distributors, third parties, vendors, and internal stakeholders). Maintain overs

Toast creates technology to help restaurants and local businesses succeed in a digital world, helping business owners operate, increase sales, engage customers, and keep employees happy. As a Customer Care Manager, you will actively manage a team of agents for the Payments POS Campaign. You are responsible for the productivity and the well-being of the members of the Customer Care Team in our Bengaluru, India office and will act as a Subject Matter Expert for Operations. You will oversee the customer journey for those experiencing Toast issues throughout the care experience, while working with cross-functional Internal teams such as Restaurant Success, Sales, and Onboarding to create process and support guidelines. To thrive as a Customer Care Manager at Toast, you are resilient, motivated to coach a team on delivering high quality customer interactions, and excel in ambiguous environments. To thrive as a Customer Care Manager at Toast, you are resilient, passionate about coaching high-performing teams, comfortable leading in a fast-paced SaaS environment, and motivated to deliver exceptional customer outcomes while continuously improving team performance. A day in the life (Responsibilities) Manage, coach, and develop a team of Customer Care Specialists/Experts while monitoring attendance, schedule adherence, productivity, and overall performance. Provide regular coaching, feedback, and performance development through Quality Assurance reviews, One-on-One sessions, and real-time coaching to improve customer experience and operational performance. Train and develop team members on product functionality, customer handling skills, troubleshooting techniques, compliance expectations, and new product releases. Foster an engaging and collaborative team environment by maintaining open communication, encouraging feedback, and supporting career development. Monitor team performance across key operational metrics including CSAT, Quality, P

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. Position Summary The Senior Customer Insights Manage r would act as a dedicated insights partner to Merchandising, responsible for: Addressing merchant‑driven category and subcategory insight questions Mining and synthesizing insights from Simile, Mintel, and Kantar Translating research into clear, concise, decision‑ready insights Serving as a subject matter expert in consumer research and category strategy This role focuses on insight synthesis and enablement—not new research spend—maximizing existing assets. A core responsibility of this role would be creating and managing category‑specific agent banks within Simile, including: Category and subcategory buyers CVS store brand buyers, explicitly modeled alongside competitive store brands Competitive private‑label buyers where available These agent banks would enable: Consistent evaluation of CVS store brands relative to competitors Faster, more scalable category insights Deeper understanding of store brand choice drivers and trade‑offs at a category level This capability does not exist today and represents a meaningful step forward in applying AI to merchandising strategy. Required Qualifications 7&#43; years of relevant experience - plan, ana

Work Flexibility: Field-based Provide clinical demonstrations and instruction for use of company products in pre-sale, implementation, and post-sale situations in formal educational as well as small-group or individual presentations in patient-care areas throughout a healthcare facility, to gain or increase acceptance of company’s products and technology. Responsibilities Provide information through formal presentations to Physicians, and Administration customers that detail the clinical and/or financial benefits of company’s devices as related to the group. Evaluate new products or enhancements to devices to provide information and feedback to the Product Development and Marketing departments. Works with customers to introduce, promote, and increase the usage of products throughout a customer facility. Assist with the collection and dissemination of information or feedback provided by customers. Represent company at various trade shows or educational meetings and complete all necessary reports. Provide product support and education to users either in person, in-service or by written or verbal means. Continuously increases knowledge of new developments within the assigned market as well as company products to perform as a subject matter expert. Develop and disseminate information to internal executives and staff regarding issues related to customer acceptance of company’s technology and products during the pre-sale and evaluation process. Qualifications BS degree preferred in related field or 6 years demonstrated successful sales experience. Minimum of 4 years related medical device experience. Great communication skills. Maintain all Certifications and