Manager, Contract Negotiations (Louisiana Medicaid)

CVS Health Corporation; Baton Rouge (LA); Hybride; USD 54 000 - 119 000; Plein temps

Avantages offerts par ce poste

Medical insurance

Dental insurance

Vision coverage

Paid time off

Retirement plan

Wellness programs

Résumé du poste

CVS Health Corporation in Louisiana is seeking a Provider Contracts Negotiator to recruit, negotiate and execute physical and behavioral health provider contracts. This role aims to expand and enhance the Aetna Better Health of Louisiana network and ensure adequacy against targets.

The ideal candidate has 3–5 years of managed care contracting experience, strong communication and analytical skills, and the ability to travel up to 15%.

Qualifications

• 3-5 years of experience negotiating managed care provider contracts.
• Deep knowledge of the managed care industry and contracting reimbursement methodologies.
• Strong communication, critical thinking, problem resolution and interpersonal skills.
• MS Office Suite proficiency.
• Ability to travel up to 15%.
• Resident of Louisiana; hybrid work in Baton Rouge 1–2x/mo.

Responsabilités

• Recruit, negotiate and execute provider contracts to expand Louisiana network.
• Optimize interactions with providers and internal partners to meet provider needs.
• Identify and manage cost issues and initiate cost-saving initiatives and/or settlements.
• Assist with design, development, management, and implementation of strategic network configurations.
• Resolve escalated issues related to claims, contract interpretation, or demographics.
• Collaborate cross-functionally on hospital, ancillary and provider pricing development and reimbursement modeling.

Connaissances

Contract negotiation

Communication

Problem solving

MS Office

Travel eligible

Formation

Bachelor's degree

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 ourselvesaccountable 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

• Recruit, negotiate and execute physical and behavioral health provider contracts to ensure attainment of Aetna Better Health of Louisiana network expansion and adequacy targets.
• Optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met.

• Responsible for identifying and managing cost issues and initiating appropriate cost saving initiatives and/or settlement activities.

• Assists with the design, development, management, and implementation of strategic network configurations and integration activities.

• Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.
• Manages complex, contractual relationships with providers according to prescribed guidelines in support of national and regional network strategies.
• Collaborates cross-functionally to manage Hospital, Ancillary and Provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities

Required Qualifications

• 3-5 years of related experience with successful track record negotiating managed care provider contracts with physician groups, hospitals, and/or ancillary services
• In-depth knowledge of the managed care industry and practices, as well as a strong understanding of strategies and financial/contracting reimbursement methodologies
• 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 as needed
• Resident of Louisiana- Hybrid (able to work in Baton Rouge office at least 1-2x/mo)

Preferred Qualifications

• Knowledge of Louisiana Medicaid provider and payor landscape

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.