Contract Negotiator, CVS Health

CVS Health

Location:
United States, Work At Home, Texas

Category:
Consulting

Contract Type:
Employment contract

Salary:

54300.00 - 159120.00 USD / Year

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Job Description:

At Aetna, we are committed to helping people on their path to better health. By taking a total and connected approach to health, we guide and support our members so they can get more out of life, every day. We are looking for people like you who value excellence, integrity, caring, and innovation. As an employee, you’ll join a team dedicated to improving the lives of Texas members. We value diversity and are dedicated to helping you achieve your career goals.

Job Responsibility:

Negotiates competitive contracts with health care providers using pre-determined internal guidelines and financial standards
Negotiates contract language in accordance with Aetna standards, engaging other departments as needed for review and approval of contract terms outside the standards
Conducts competitive and financial analyses to achieve best in market discounts and financial results that are within pre-determined targets
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
Negotiates and supports the 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
May recruit providers as needed to ensure network adequacy and achievement of network expansion goals
Maintains accountability for specific medical cost initiatives

Requirements:

3+ years of experience negotiating contracts with ancillary providers, 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
3+ years of working knowledge of complex contracting options, provider reimbursement methodologies and terms, and contract setup
Understanding of provider financial issues, industry standard payment policies, regulatory requirements, and competitor strategies
Must be proficient in Word, Excel, and Microsoft Office

Nice to have:

Professional and Ancillary contracting experience
Strong critical thinking, problem resolution, organization, communication, and interpersonal skills
Able to successfully manage multiple negotiations, issues, and other tasks to ensure completion and meet deadlines
Able to manage expectations and maintain strong relationships, both internally and externally
Experience negotiating and/or managing value-based contracts

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs 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:
July 18, 2025

Expiration:
July 28, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Contract Negotiator