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Senior Provider Network Contracting Manager

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States

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Category:
Health and Beauty

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Contract Type:
Employment contract

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Salary:

67900.00 - 149328.00 USD / Year

Job Description:

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. The Senior Provider Network Contracting Manager reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals and cost initiatives.

Job Responsibility:

  • Reviews, analyzes, negotiates, and executes complex Medicaid contracts with health systems, physician groups, and behavioral health providers
  • Collaborates cross-functionally to develop provider compensation and pricing strategies
  • Manages contracts through language and compliance reviews
  • Serves as a liaison to internal colleagues to interpret contracts, drive cost savings, resolve claims and other service issues

Requirements:

  • A minimum of 3 years work experience in a provider contracting or provider relations role
  • Proven working knowledge of physician reimbursement methodologies and contracting strategies
  • Strong communication, critical thinking, project management and problem-solving skills
  • A willingness to actively interact with providers and have complex conversations
  • Working knowledge of Microsoft applications
  • Adept at negotiating complex healthcare provider contracts
  • Bachelor's degree preferred or a combination of professional work experience and education

Nice to have:

  • Medicaid and/or behavioral health experience
  • Working knowledge of QuickBase, QNEXT, PRMS and KIT systems
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • No-cost 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:
November 05, 2025

Expiration:
November 29, 2025

Employment Type:
Fulltime
Work Type:
Remote work
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