Manager, Provider Contract Negotiation - Remote

Overview

The Manager, Provider Contract Negotiation at CVS Health is responsible for negotiating and managing contracts with healthcare providers, ensuring network quality and financial goals are met while collaborating across functions.

In Short

• Negotiate and execute contracts with healthcare providers.
• Manage contract performance for network quality and financial goals.
• Collaborate on provider compensation and pricing strategies.
• Recruit providers to meet network expansion targets.
• Handle dispute resolution and claims payment issues.
• Analyze market strategies and regulatory requirements.
• Provide recommendations for cost management initiatives.
• Assist in developing strategic network configurations.
• Ensure provider needs are met through effective relationship management.
• Contribute to cross-market network management activities.

Requirements

• 3-5 years of experience in healthcare contracting.
• Proven negotiating skills and knowledge of competitor strategies.
• Strong communication and interpersonal skills.
• Knowledge of Medicare and PPO products.
• Bachelor's degree preferred.

Benefits

• Comprehensive medical plan options.
• 401(k) plan with matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs and counseling.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave options.