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Senior Manager, 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:

75400.00 - 165954.00 USD / Year
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Job Description:

This position supports Ancillary Provider Contracting and Relationship Management for the Commercial and Medicare Segments.

Job Responsibility:

  • Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with ancillary providers
  • Manages contract performance in support of network quality, availability, and financial goals and strategies
  • Recruit providers as needed to ensure attainment of network expansion and adequacy targets
  • Collaborates cross -functionally to contribute to provider compensation and pricing development activities, recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities
  • Integrates cross-functional collaboration to contribute to provider compensation and pricing development activities and recommendations for negotiations and reimbursement modeling activities
  • Identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities
  • Provides ancillary network development, maintenance, and refinement activities and strategies in support of cross-market network management unit
  • Assists with the design, development, management, and/or implementation of strategic network configurations, including integration activities
  • Optimizes interaction with assigned providers and internal business partners to manage relationships and ensure providers needs are met
  • Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation, and parameters or accuracy of provider contract or demographic information
  • Coaches more junior colleagues in techniques, processes, and responsibilities

Requirements:

  • 5+ years of Provider Contract Network and Negotiation experience preferably within the ancillary space
  • Proven working knowledge of competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements
  • 3+ years related experience Commercial HMO, PPO products knowledge
  • 3+ years related experience Medicare and/or Medicaid products knowledge
  • Must reside in Ohio
  • Bachelor’s Degree or equivalent professional experience

Nice to have:

  • Intermediate knowledge of Microsoft Office, specifically Excel and PowerPoint
  • A ready business acumen and the ability to balance and articulate competing priorities while making decisions
  • Strong and persuasive communication skills, especially written communications, with external stakeholders
  • Strong critical thinking, problem resolution and interpersonal skills
  • Adept at execution and delivery (planning, delivering, and supporting) skills
  • Adept at collaboration and teamwork
  • A growth mindset (agility and developing yourself and others) 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
  • 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
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