Network Contracts Manager, Healthcare Systems

CVS Health; Georgia; Hybrid; USD 54,000 - 159,000; Full time

Job summary

CVS Health in Georgia seeks an experienced professional to construct negotiation, execution, review, and analysis of contracts, and to deliver dispute resolution and settlement negotiations with providers. The role ensures contract performance aligns with accessibility, quality, financial, and cost goals.

This position emphasizes cross-functional collaboration, provider compensation strategies, and cost-saving initiatives, while supporting network development and mentoring junior colleagues in a

Qualifications

• 5+ years of provider contracting, claims management, or patient management experience.
• 5+ experience working with/or in a Claims environment.
• 5+ experience that includes ACAS and HRP claim platforms, products, and benefits; patient management, provider relations, or claims management.

Responsibilities

• Constructs negotiation, execution, review, and analysis of contracts.
• Delivers dispute resolution and settlement negotiations with providers.
• Ensures contract performance aligns with accessibility, quality, financial, and cost goals.
• Develops, maintains, and enhances relationships with physicians/providers and local networks and patient management teams.
• Establishes programs and initiatives for contract negotiations.
• Forecasts changes, conducts impact assessments, and develops modification strategies.
• Integrates cross-functional collaboration for provider compensation and pricing development.
• Identifies cost-saving, settlement, and cost management recommendations.
• Manages network development, maintenance, and refinement activities; coaches junior colleagues.

Skills

Contract negotiations

Dispute resolution

Provider relations

Claims management

Cross-functional collaboration

Education

Bachelor's degree

Tools

ACAS

HRP

Job description

CVS Health in Georgia seeks an experienced professional to construct negotiation, execution, review, and analysis of contracts, and to deliver dispute resolution and settlement negotiations with providers. The role ensures contract performance aligns with accessibility, quality, financial, and cost goals.

This position emphasizes cross-functional collaboration, provider compensation strategies, and cost-saving initiatives, while supporting network development and mentoring junior colleagues in a