Senior Contract Manager, Provider Networks & Value‑Based Care

CVS Health Corporation; New Mexico; Hybrid; USD 68,000 - 166,000; Full time

Job summary

CVS Health Corporation in the United States seeks a Senior Manager to negotiate contracts with hospitals and physician groups, focusing on fee-for-service and value-based arrangements, coordinating with Aetna and CVS teams. This role will drive network expansion, cost management, and provider engagement while collaborating across departments.

A strong analytical mind, negotiation skills, and healthcare contracting knowledge are essential.

Qualifications

• 7+ years of experience negotiating contracts with hospitals, facilities, and physician groups.
• 3+ years of experience in provider relationship management or related healthcare roles.
• Demonstrated ability to leverage competitive market data, financial metrics, and detailed analysis to secure favorable contract outcomes.
• Proven working knowledge of provider financial issues, contracting options, regulatory requirements.
• Strong communication, critical thinking, problem resolution and interpersonal skills.

Responsibilities

• Lead end-to-end contract negotiations, execution, and analysis with a focus on hospital, physician groups, and smaller/local systems.
• Manage contract performance and drive the development and implementation of value-based arrangements aligned with organizational strategy.
• Identify, recruit, and onboard providers to meet network expansion and adequacy targets; accountable for delivering competitive and sustainable cost arrangements.
• Partner cross-functionally to support provider compensation strategy, pricing development, and reimbursement modeling.
• Analyze financial and operational data to identify cost-saving opportunities and execute initiatives that drive measurable impact.
• Serve as a key representative of the organization with providers, customers, and community stakeholders, strengthening partnerships and collaboration.
• Evaluate and contribute to provider network strategy, ensuring alignment with state requirements, product needs, and cost management objectives.
• Optimize provider engagement and resolve complex escalations related to claims, contract interpretation, and provider data accuracy.

Skills

Contract negotiations

Provider relationship management

Financial analysis

Data-driven decision making

Communication

Cross-functional collaboration

Education

Bachelor's degree

Tools

Excel

Job description

CVS Health Corporation in the United States seeks a Senior Manager to negotiate contracts with hospitals and physician groups, focusing on fee-for-service and value-based arrangements, coordinating with Aetna and CVS teams. This role will drive network expansion, cost management, and provider engagement while collaborating across departments.

A strong analytical mind, negotiation skills, and healthcare contracting knowledge are essential.