Provider Contract & Network Strategy Lead

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

Job summary

CVS Health is seeking a Senior Contract Negotiator to construct, analyze and execute contracts with providers, ensuring alignment with accessibility, quality and cost objectives.

The role focuses on dispute resolution, settlements, and cross-functional collaboration with network, provider relations, and patient management teams to optimize reimbursement and pricing strategies. Strong ACAS/HRP experience is preferred, with a Bachelor's degree and 5+ years in contracting or claims management.

Qualifications

• Bachelor's degree or equivalent professional experience.
• Minimum 5+ years in provider contracting or claims management.
• Experience with ACAS and HRP platforms is required.

Responsibilities

• Negotiate, execute and review contracts with providers.
• Deliver dispute resolution and settlements in line with program goals.
• Collaborate with cross-functional teams to support pricing and reimbursement models.

Skills

Provider contracting

Claims management

ACAS/HRP platforms

Education

Bachelor's degree

Tools

ACAS system

HRP platform

Job description

CVS Health is seeking a Senior Contract Negotiator to construct, analyze and execute contracts with providers, ensuring alignment with accessibility, quality and cost objectives.

The role focuses on dispute resolution, settlements, and cross-functional collaboration with network, provider relations, and patient management teams to optimize reimbursement and pricing strategies. Strong ACAS/HRP experience is preferred, with a Bachelor's degree and 5+ years in contracting or claims management.