Contract Negotiation Manager, CVS Health

CVS Health

Location:
United States, Kentucky/Ohio

Category:
-

Contract Type:
Employment contract

Salary:

54300.00 - 119340.00 USD / Year

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Job Description:

Negotiates, executes, reviews, and analyzes contracts with ancillary providers to maintain and enhance provider networks while meeting accessibility, compliance, quality, and financial goals. Manages contract performance and collaborates cross-functionally on provider compensation and pricing development activities.

Job Responsibility:

Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with ancillary providers
Manages contract performance in support of network quality, availability, and financial goals and strategies
Recruit providers as needed to ensure attainment of network expansion and adequacy targets
Collaborates cross-functionally to contribute to provider compensation and pricing development activities
Identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities
Provides ancillary network development, maintenance, and refinement activities and strategies
Assists with the design, development, management, and/or implementation of strategic network configurations
Optimizes interaction with assigned providers and internal business partners to manage relationships
Ensures resolution of escalated issues related to claims payment, contract interpretation, and parameters
Coaches more junior colleagues in techniques, processes, and responsibilities

Requirements:

Proven working knowledge of competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements
3-5 years related experience Commercial HMO, PPO products knowledge
3-5 years related experience Medicare and/or Medicaid products knowledge
Knowledge of Kentucky/Ohio network
Bachelor's Degree or equivalent professional experience

Nice to have:

Intermediate knowledge of Microsoft Office, specifically Excel and PowerPoint
A ready business acumen and the ability to balance and articulate competing priorities while making decisions
Strong and persuasive communication skills, especially written communications, with external stakeholders
Strong critical thinking, problem resolution and interpersonal skills
Adept at execution and delivery (planning, delivering, and supporting) skills
Adept at collaboration and teamwork
A growth mindset (agility and developing yourself and others) skills

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
September 19, 2025

Expiration:
November 12, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Contract Negotiation Manager