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Senior Provider Network Contractor - Remote

Posted 2 weeks ago
Sales / Business
Full Time
USA
$75,400.00 - $182,549.00/year

Overview

The Senior Provider Network Contractor at CVS Health plays a crucial role in negotiating and executing contracts with healthcare providers, ensuring the enhancement of provider networks while meeting quality and financial goals.

In Short

  • Negotiate and execute contracts with healthcare providers.
  • Conduct high-level reviews and analysis of contracts.
  • Resolve disputes and manage settlement negotiations.
  • Work with complex provider systems to enhance networks.
  • Collaborate with Aetna and CVS departments on quality initiatives.
  • Recruit providers to meet network expansion targets.
  • Accountable for cost arrangements within defined groups.
  • Manage provider compensation and pricing development.
  • Analyze reports for negotiation and reimbursement activities.
  • Preferred location in Washington or Oregon.

Requirements

  • Minimum 5 years of related experience.
  • Strong negotiation skills with complex provider systems.
  • Knowledge of provider financial issues and strategies.
  • Experience with large/complex contracting options.
  • Regulatory knowledge relevant to healthcare contracts.
  • Strong communication and interpersonal skills.
  • Advanced Excel skills, including pivot tables and v-lookup.
  • Bachelor’s Degree preferred or equivalent experience.
  • Experience with commercial and Medicare contracts preferred.

Benefits

  • Competitive pay range with bonus eligibility.
  • 401(k) plan with company matching contributions.
  • Employee stock purchase plan available.
  • No-cost wellness programs for all colleagues.
  • Flexible work schedules and paid time off.
  • Tuition assistance and dependent care resources.
  • Confidential counseling and financial coaching services.
  • Comprehensive medical plan options available.
  • Retiree medical access depending on eligibility.
  • Commitment to employee wellness and community service.

A.R

Aetna Resources

Aetna Resources, a part of CVS Health, is a leading health solutions company dedicated to transforming healthcare for millions of Americans. With a workforce of over 300,000 passionate colleagues, Aetna focuses on providing connected, convenient, and compassionate care through various channels. The company emphasizes data intelligence to support its Medicare organization and Stars program, aiming to enhance member experiences and elevate Star ratings while adhering to regulatory guidelines. Aetna is committed to fostering a diverse and inclusive workplace, offering comprehensive benefits and a culture that values collaboration, trust, and innovation.

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