Provider Network Contracting Senior Manager, CVS Health

CVS Health

Location:
United States, MO, IL

Category:
Finance

Contract Type:
Employment contract

Salary:

67900.00 - 182549.00 USD / Year

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Job Description:

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:

Negotiates, executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of contracts
Works with larger and more complex, market/regional/national based groups/systems in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives
Recruits providers as needed to ensure attainment of network expansion and adequacy targets
Accountable for cost arrangements within defined groups
Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities

Requirements:

Minimum 5 years related experience and comprehensive level of negotiating with individual or complex provider systems or groups
Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting options, financial/contracting arrangements, and regulatory requirements
Strong communication, critical thinking, problem resolution and interpersonal skills

Nice to have:

Commercial, individual exchange and Medicare experience
Experience contracting with hospital systems and groups
Advanced Excel experience including pivot tables and v-lookup function

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:
April 23, 2025

Expiration:
May 24, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Provider Network Contracting Senior Manager