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Provider Contract Negotiation Manager

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , Work at Home

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Category:

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Contract Type:
Not provided

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Salary:

60300.00 - 132600.00 USD / Year

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. About the Role: Join Aetna’s Network Management team as a Contract Negotiator and play a key role in building and maintaining a high-performing provider network. You’ll leverage your negotiation skills and analytical expertise to secure competitive contracts, support value-based care initiatives, and drive positive outcomes for our members and partners.

Job Responsibility:

  • Negotiate competitive contracts with healthcare providers, ensuring alignment with internal guidelines and financial standards
  • Draft and review contract language, collaborating with cross-functional teams for non-standard terms
  • Conduct financial and competitive analyses to achieve best-in-market discounts and meet financial targets
  • Manage contract performance and coordinate with internal departments to resolve issues related to contract execution, loading, and ongoing maintenance
  • Support the implementation of value-based contracts in line with business strategies
  • Build and maintain strong relationships with key providers, ensuring timely resolution of escalated issues such as claims, contract interpretation, and provider data accuracy
  • Negotiate settlements and recruit providers as needed to ensure network adequacy and support expansion goals
  • Maintain accountability for specific medical cost initiatives

Requirements:

  • 3+ years of provider contracting and relationship experience, including contract language, rate proposals, and financial analysis
  • Proficiency in Microsoft Word, Excel, and Office Suite
  • Demonstrated ability to use competitive and financial data to negotiate favorable contracts
  • Bachelor’s degree or equivalent combination of education and professional experience

Nice to have:

  • Strong critical thinking, problem-solving, organizational, communication, and interpersonal skills
  • Ability to manage multiple negotiations and tasks simultaneously, meeting deadlines and maintaining strong relationships internally and externally
  • Experience with value-based contract negotiation or management is a plus
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:
February 22, 2026

Expiration:
March 31, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

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