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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Job Responsibility:
Builds and maintains strategic relationships with physician partners in the Northern Ohio market, supporting Commercial and Medicare lines of business
Develops, reviews, analyzes, and executes provider contracts
Ensures proper implementation of negotiated agreements and monitors contract performance to align with accessibility, compliance, quality, financial, and cost objectives
Lead the development and execution of innovative programs to advance contract negotiation initiatives across the organization
Anticipate industry changes, evaluate their impact, and formulate strategic responses
Design and implement systems to recruit providers, supporting network expansion and adequacy goals
Conduct competitive analyses to inform reimbursement strategies
Foster cross-functional collaboration to enhance provider compensation methodologies and analyze financial impacts of reimbursement models
Recommend strategies to address cost challenges and drive cost-saving initiatives and settlement activities
Support network development, maintenance, and optimization to achieve company and market objectives
Mentor colleagues on best practices, processes, and responsibilities to strengthen team capabilities
Requirements:
3–5 years of experience in provider contracting
Demonstrated expertise in provider contracts and payment strategies
Strong ability to collaborate and solve problems with internal and external stakeholders
Comprehensive understanding of Northern Ohio’s healthcare landscape
Bachelor’s degree preferred or a combination of professional work experience
Nice to have:
Proficiency in Microsoft Word, Excel, and PowerPoint
Exceptional written and verbal communication skills, particularly with external stakeholders
Strong critical thinking, problem-solving, and interpersonal skills
What we offer:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching