Manager, Provider Contract Negotiation (Georgia)

CVS Health; Atlanta (GA); On-site; USD 54,300 - 119,340; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking an entry-level contracting role focused on provider relations and contract management. You will support and manage contracting projects, evaluate provider data, and work with internal teams to optimize pricing and reimbursement models.

The role requires 5+ years in provider relations or managed care, a Georgia residency, and the ability to travel to the Atlanta office monthly. Strong analytical and communication skills are essential.

Qualifications

• 5+ years experience in a provider relations, contracting or managed care environment.
• Knowledge of the managed care industry and practices, as well as a strong understanding of strategies, practices, and financial/contracting arrangements.
• Must possess critical thinking, problem resolution, organizational and interpersonal skills.
• Highly organized and self-driven.
• Must reside in Georgia and able to drive into the Atlanta office location 1x per month.

Responsibilities

• Assist in negotiating and managing provider contracts to support market strategies.
• Support and manage assigned contracting projects and provider data evaluation using internal tools.
• Collaborate with cross-functional teams to manage provider compensation and pricing development.
• Identify cost issues and participate in cost-saving initiatives.
• Represent CVS Health in interactions with providers and community groups.

Skills

Project management

Provider contracting

Analytical thinking

Cross-functional collaboration

Education

Bachelor's degree

Job description

We42re building a world of health around every individual 10 shaping a more connected, convenient and compassionate health experience. At CVS Health60, you42ll 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 10 helping to simplify health care one person, one family and one community at a time.

Position Summary

• Entry level contracting role for a candidate with minimal contracting experience and background.
• Project management skills to prioritize competing priorities, effectively communicate provider contracting scenarios with attention to detail based on a thorough evaluation of provider data using internal tools, and support and manage assigned projects for the market.
• Manages contract performance and drives the development and implementation of value-based contract relationships in support of business strategies.
• Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within defined providers.
• Collaborates cross-functionally to manage 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.
• Responsible for identifying and managing cost issues and collaborating cross functionally to execute significant cost saving initiatives.
• Represents company with high visibility constituents, including customers and community groups. Promotes collaboration with internal partners.
• Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements. Collaborates with internal partners to assess effectiveness of tactical plan in managing costs.
• May optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met. Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.

Required Qualifications

• 5+ years experience in a provider relations, contracting or managed care environment
• Knowledge of the managed care industry and practices, as well as a strong understanding of strategies, practices, and financial/contracting arrangements.
• Must possess critical thinking, problem resolution, organizational and interpersonal skills.
• Highly organized and self-driven
• Must reside in Georgia and able to drive into the Atlanta office location 1x per month

Preferred Qualifications

• Ability to forge meaningful, long-lasting relationships with providers.
• Physician, Ancillary and/or Commercial experience
• Knowledge of Medicare programs and related subject matter

Education

• Bachelor b4s degree and relevant training or work 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 adtime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbein 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: 08/31/2026

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