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Contract Negotiator Manager - Providers

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States

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Category:
-

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Contract Type:
Not provided

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Salary:

54300.00 - 145860.00 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.

Job Responsibility:

  • Recruits providers as needed to ensure network adequacy and achievement of network expansion goals
  • Negotiates contracts with health care providers using pre-determined internal guidelines and financial standards
  • Uses various sources of competitive intel to negotiate best in market discounts
  • Develops rate proposals and performs financial analyses to ensure that results are within pre-determined targets
  • Negotiates contract language in accordance with Aetna standards, engaging other departments as needed for review and approval of contract terms outside the standards
  • Responsible for building contracts and amendments in contract management system in accordance with Aetna established guidelines, obtaining signatures, monitoring their progress post-signature, and verifying their accuracy post-release
  • Manages contract performance and works with various internal departments to address questions, issues, and activities related to execution, loading, and ongoing maintenance of provider contracts
  • Supports the negotiation and implementation of value-based contract relationships in support of business strategies
  • Manages relationships with key providers and ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information
  • Negotiates settlements as needed
  • Responsible for identifying and making recommendations to manage cost issues and supporting cost saving initiatives

Requirements:

  • 3+ years of experience negotiating contracts with ancillary providers, facilities, physician groups, and IPAs, 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
  • 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.)
  • Detail-oriented with strong communication, analytical and negotiation skills
  • Able to manage expectations and maintain strong relationships, both internally and externally
  • 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
  • Bachelor’s Degree or equivalent combination of education and professional work experience

Nice to have:

  • Strong problem resolution and decision-making skills
  • Experience negotiating and/or managing hospital contracts
  • Experience negotiating and/or managing value-based contracts brings added value
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
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
March 04, 2026

Expiration:
March 31, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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