Contract Negotiation Manager

2 days ago


California, Missouri, United States CVS Health Full time
Job Summary

CVS Health is seeking a skilled Contract Negotiation Manager to join our team. As a key member of our organization, you will be responsible for negotiating, executing, reviewing, and analyzing contracts with healthcare providers.

Key Responsibilities
  • Negotiate and execute fee-for-service contracts with physician groups in the California market for Medicare and Commercial lines of business.
  • Manage contract performance to ensure alignment with accessibility, compliance, quality, financial, and cost goals.
  • Recruit providers to expand and maintain a high-quality network.
  • Collaborate with cross-functional teams to develop provider compensation and pricing strategies.
  • Identify and recommend cost-saving initiatives and settlement activities.
  • Develop and implement strategic network configurations to optimize interactions with providers and internal business partners.
Requirements
  • 5+ years of experience in managed care network negotiation and contract management.
  • Strong verbal and written communication, interpersonal, problem resolution, and critical thinking skills.
  • Proven working knowledge of competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements.
  • Ability to influence and collaborate with providers and partners at all levels.
Preferred Qualifications
  • Provider Data Management experience.
  • Claim and/or Customer Service experience.
Education and Compensation

Bachelor's Degree or equivalent professional work experience. The typical pay range for this role is $66,145,860.00 per year, plus bonus, commission, or short-term incentive program.



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