Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Jonathan Rivera

New York City,NY

Summary

Healthcare professional with 7+ years of experience in value-based care partnerships, provider engagement, and Medicare Advantage strategy. Proven ability to manage national provider relationships, lead broker education initiatives, and collaborate across enterprise teams to advance value-based care adoption, optimize partner performance, and support strategic healthcare initiatives.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Senior Manager – Provider Sales, National Value Based Care Partners

CVS Health (Aetna)
03.2025 - Current
  • Manage strategic relationships with national value-based care partners including Oak Street Health, CenterWell, ChenMed, and other leading VBC organizations.
  • Hosted bi-weekly strategic partnership meetings to align priorities between Aetna leadership and provider organizations.
  • Delivered 40+ nationwide Model of Care and value-based care trainings (in-person and virtual) through Aetna Academy series and High Value Provider University.
  • Coordinate cross-functional initiatives supporting optimization of national value-based care partnerships and operational alignment.
  • Develop leadership presentations and reporting insights to monitor value-based care partner performance and strategic initiatives.

Provider Relations Manager

The Cigna Group
02.2023 - 03.2025
  • Managed provider relationships with physician groups supporting network performance and value-based care initiatives.
  • Served as primary liaison between providers and internal teams to resolve operational, claims, and service issues.
  • Educated provider offices on plan policies, quality programs, and operational processes improving care delivery.
  • Partnered with cross-functional teams to strengthen provider engagement and network satisfaction.

Field Service Representative

CVS Health
07.2021 - 02.2023

• Consistently achieved 125%+ of annual Medicare Advantage sales goals, ranking among the top performers in the market.

• Managed the largest Medicare sales territory in New York City (Brooklyn), developing relationships with community partners, brokers, and healthcare providers to drive membership growth.

• Hosted Medicare 101 educational seminars and group sales presentations, helping prospective members understand Medicare benefits, enrollment options, and plan features.

Community Outreach Specialist

WellCare
New York, NY
02.2017 - 06.2021
  • Led outreach initiatives educating communities on Medicare and Medicaid benefits and healthcare resources.
  • Developed partnerships with community organizations to expand awareness of healthcare programs.
  • Organized educational events supporting member engagement and enrollment.

Education

BBA - Advertising

Pace University
New York, NY

Skills

  • Value-Based Care Partnerships
  • Provider Network Strategy
  • Partner Performance Optimization
  • Provider Engagement & Relations
  • Broker Education & Training
  • Healthcare Operations & Reporting

Certification

Active Life, Accident, and Health Insurance License

Timeline

Senior Manager – Provider Sales, National Value Based Care Partners

CVS Health (Aetna)
03.2025 - Current

Provider Relations Manager

The Cigna Group
02.2023 - 03.2025

Field Service Representative

CVS Health
07.2021 - 02.2023

Community Outreach Specialist

WellCare
02.2017 - 06.2021

BBA - Advertising

Pace University