Provider Contracting & Relations Lead

CVS Health; Columbus (OH); On-site; USD 60,000 - 133,000; Full time

Job summary

CVS Health is seeking a Manager of Contract Negotiation to oversee provider contracts and relationships across the Northern Ohio market. You will lead negotiations, monitor performance, and ensure alignment with access, quality, and financial goals.

The role requires strong collaboration with clinicians, network development, and cross-functional teams to optimize reimbursement models and cost management. Exceptional communication and strategic thinking are essential.

Qualifications

• 5+ years leading or supporting healthcare administration or health insurance operations.
• 3+ years managing provider relationships and contract management functions.
• Strong ability to partner with internal and external stakeholders to identify root causes, develop solutions, and drive resolutions.

Responsibilities

• Lead development and execution of programs to advance contract negotiation initiatives.
• Anticipate industry changes and formulate strategic responses.
• Design systems to recruit providers and support network expansion.
• Conduct analyses to inform reimbursement strategies.
• Foster cross-functional collaboration to improve provider compensation methodologies.

Skills

Healthcare operations

Provider relations

Contract management

Stakeholder collaboration

MS Office proficiency

Education

Bachelor's degree

Tools

EPDB

SCM

Provider Data Management

Job description

CVS Health is seeking a Manager of Contract Negotiation to oversee provider contracts and relationships across the Northern Ohio market. You will lead negotiations, monitor performance, and ensure alignment with access, quality, and financial goals.

The role requires strong collaboration with clinicians, network development, and cross-functional teams to optimize reimbursement models and cost management. Exceptional communication and strategic thinking are essential.