Manager, Contract Negotiations (Behavioral Health)-Louisiana Medicaid

Pennsylvania Psychological Association; Baton Rouge (LA); Hybride; USD 54 000 - 119 000; Plein temps

Avantages offerts par ce poste

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Résumé du poste

CVS Health is seeking a Manager of Behavioral Health Contract Negotiations to lead Louisiana Medicaid behavioral health contracting. This role will evaluate provider eligibility, oversee reimbursement methodologies, and help strengthen the behavioral health network across the state.

The position requires 3–5+ years in behavioral health contracting, deep knowledge of Louisiana Medicaid requirements, and strong collaboration with network leadership to address access and capacity gaps.

Qualifications

• 3-5+ years behavioral health provider contracting experience.
• Working knowledge of Louisiana Medicaid behavioral health services and provider requirements.
• Knowledge of behavioral health levels of care and service settings.
• Ability to evaluate a behavioral health provider's scope of services and qualifications against Medicaid requirements.
• Experience negotiating behavioral health reimbursement methodologies and contract terms.
• Ability to interpret and operationalize Louisiana Medicaid requirements and related contracts.

Responsabilités

• Serve as a contracting SME for Louisiana Medicaid behavioral health services.
• Evaluate network needs by level of care and service type.
• Develop targeted recruitment and contracting strategies to address gaps.
• Negotiate reimbursement methodologies and contract terms.
• Coordinate with Network leadership and stakeholders.

Connaissances

Behavioral health contracting

Medicaid knowledge

Contract negotiation

Communication

MS Office

Formation

Bachelor's degree or equivalent

Outils

MS Office

Description du poste

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

In this Louisiana Medicaid individual contributor role, the Manager, Behavioral Health Contract Negotiations will serve as a behavioral health contracting subject matter resource for the Louisiana market, with responsibility for understanding the continuum of Louisiana Medicaid behavioral health services, applicable provider types and qualifications, and reimbursement structures necessary to build and maintain an adequate behavioral health network.

This position will also support Network leadership in evaluating behavioral health network needs by level of care and service type; identifying access, capacity, and geographic gaps; and developing targeted recruitment and contracting strategies to address network deficiencies.

Required Qualifications

• 3-5+ years behavioral health provider contracting experience, including negotiation and execution of agreements across multiple behavioral health provider types and levels of care.
• Working knowledge of Louisiana Medicaid behavioral health services and provider requirements, including understanding of the provider types, licensure/credentialing requirements, service delivery requirements, and reimbursement considerations applicable to contracted services.
• Knowledge of behavioral health levels of care and service settings, including inpatient psychiatric, residential, partial hospitalization, intensive outpatient, outpatient behavioral health, crisis services, substance use disorder treatment, and community-based behavioral health services.
• Ability to evaluate a behavioral health provider's scope of services and qualifications against Medicaid requirements to determine which services and levels of care the provider is eligible to deliver and contract for.
• Experience negotiating behavioral health reimbursement methodologies and contract terms, with the ability to evaluate rate proposals, financial impact, provider leverage, access needs, and market conditions.
• Ability to interpret and operationalize Louisiana Medicaid requirements, managed care contract requirements, provider manuals, fee schedules, and applicable behavioral health guidance as they relate to provider contracting.
• Strong communication, critical thinking, problem resolution and interpersonal skills
• MS Office Suite proficiency
• Ability to travel in assigned market up to 15% of the time
• Resident of Louisiana and must be able to work in the office 1-2x/mo in the Baton Rouge office location.

Preferred Qualifications

• Direct experience with the Louisiana Medicaid behavioral health provider and payer landscape, including contracting with behavioral health facilities, practitioners, substance use disorder providers, and community-based behavioral health providers.

Education

• Bachelor's degree or equivalent combination of education and experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$54,300.00 - $119,340.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.