Healthcare Contract Negotiator for Medicaid Providers
1 week ago
CVS Health: Bringing Heart to Healthcare Excellence
About UsWe are a healthcare leader dedicated to delivering exceptional care and improving lives. Our purpose guides our commitment to innovation, accessibility, and affordability.
Job DescriptionA Senior Provider Network Contracting Manager plays a critical role in negotiating complex Medicaid contracts with healthcare providers. This position requires strong analytical and communication skills, as well as the ability to interpret contracts and drive cost savings.
Responsibilities- Reviews and analyzes Medicaid contracts to ensure compliance with company standards
- Negotiates contract terms with healthcare providers to meet financial goals and quality initiatives
- Collaborates with cross-functional teams to develop provider compensation and pricing strategies
- Liaises with internal colleagues to resolve claims and service issues
To succeed in this role, you will need:
- 7-10 years of experience in provider contracting, preferably in Medicaid or behavioral health
- Proven knowledge of physician reimbursement methodologies and contracting strategies
- Strong communication, critical thinking, project management, and problem-solving skills
- A willingness to interact with providers and negotiate complex contracts
Internal applicants should have working knowledge of QuickBase, QNEXT, PRMS, and KIT systems.
Salary and BenefitsThe estimated salary for this role is $114,164. CVS Health offers a comprehensive benefits package, including medical, dental, and vision insurance, 401(k) retirement plan, and employee stock purchase plan. You will also enjoy paid time off, holidays, and opportunities for professional development.
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