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Contract Manager

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , Work at Home

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Category:
Consulting

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Contract Type:
Employment contract

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Salary:

60300.00 - 132600.00 USD / Year
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Job Description:

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: This is an individual contributor role. The Contract Manager serves as the subject matter expert in support of contracting initiatives and data audits to enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals. Responsible for reviewing, building and auditing complex contract and network data, support recruitment efforts, and collaborating on negotiations as needed.

Job Responsibility:

  • Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, or local providers, including SCAs, LOAs, and PPAs
  • Manages contract performance in support of network quality, availability, and financial goals and strategies
  • Recruits providers to ensure attainment of network expansion and adequacy targets
  • Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities
  • Responsible for identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities
  • Provides network development, maintenance, and refinement activities and strategies in support of cross-market network management unit
  • Assists with the design, development, management, and or implementation of strategic network configurations, including integration activities
  • May optimize interaction with assigned providers and internal business partners to manage relationships and ensure provider needs are met
  • Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information
  • Interprets contractual requirements including federal and state regulations and NCQA

Requirements:

  • 5+ years of working knowledge in the healthcare industry, including competitor strategies, complex contracting options, value based contracting, financial and contracting arrangements, and regulatory requirements
  • 3+ years of experience in provider relationship management or related healthcare roles, with proven and proficient contract management skills
  • Strong communication, critical thinking, problem resolution and interpersonal skills
  • Candidates must reside in Minnesota
  • Knowledge of the Minnesota healthcare market

Nice to have:

  • Knowledge and/or experience in provider network contracting
  • Proficiency in the Microsoft Office Suite
What we offer:
  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • bonus, commission or short-term incentive program

Additional Information:

Job Posted:
April 24, 2026

Expiration:
May 04, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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