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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. Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with smaller providers ( (i.e. local, individual providers, small groups/systems), services larger provider partners in accordance with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals and cost initiatives.
Job Responsibility
Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, or local providers
Manages contract performance in support of network quality, availability, and financial goals and strategies
Recruits providers as needed 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.
Requirements
A minimum of 5 years of experience negotiating contracts with ancillary providers, facilities, and physician groups, including contract language, development and analysis of rate proposals, identifying operational and financial improvement opportunities, and collection and analysis of competitive data and key financial metrics
3+ years of experience in provider relationship management or related healthcare roles, with proven and proficient contract management skills
Understanding of common contract provisions, provider reimbursement methodologies and terms, and industry standard payment policies and practices
Understanding of provider financial issues, regulatory requirements, and competitor strategies
Demonstrates high proficiency with Microsoft Office suite applications (e.g., Outlook, Word, Excel, etc.)
Ability to build collaborative relationships with providers and work cross-functionally to resolve complex provider contract issues
Highly organized and able to successfully manage and prioritize multiple negotiations, issues, and other tasks to ensure completion and meet deadlines
Candidates must reside in Pennsylvania or Delaware.
Nice to have
Experience with Commercial and Medicare lines of business
Bachelor's degree preferred or a combination of professional work experience and education.