Senior Contract Strategy Lead - Healthcare Networks

CVS Health

Texas

On-site

USD 68,000 - 166,000

Full time

12 days ago

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Benefits offered by this job

Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs
Equity incentives

Job summary

CVS Health is seeking an experienced Senior Manager to lead end-to-end contract negotiations with hospitals, physician groups, and local systems. You will drive value-based arrangements and collaborate with cross-functional teams to ensure network adequacy and cost discipline.

The role requires deep knowledge of provider contracts, strong analytical skills, and a proven ability to recruit and onboard providers to expand networks while meeting regulatory requirements.

Qualifications

  • 7+ years of experience negotiating contracts with hospitals, facilities, and physician groups.
  • 3+ years in provider relationship management or related healthcare roles.
  • Strong ability to leverage data and metrics to secure favorable contract outcomes.
  • Understanding of provider financial issues, contracting options, and regulatory requirements.
  • Excellent communication and interpersonal skills.

Responsibilities

  • Lead end-to-end contract negotiations, execution, and analysis with hospitals, physician groups, and local systems.
  • Manage contract performance and drive value-based arrangements aligned with strategy.
  • Identify, recruit, and onboard providers to meet network targets and cost objectives.
  • Partner cross-functionally on provider compensation strategy, pricing development, and reimbursement modeling.
  • Analyze financial and operational data to identify cost-saving opportunities and drive impact.
  • Represent the organization with providers, customers, and community stakeholders.
  • Evaluate provider network strategy ensuring alignment with state requirements and product needs.
  • Optimize provider engagement and resolve complex escalations related to claims and data accuracy.

Skills

Contract negotiations
Provider relationship management
Financial analysis
Communication
Interpersonal skills
Regulatory knowledge

Education

Bachelor's degree

Tools

Excel (Pivot tables, VLOOKUP)

Job description

CVS Health is seeking an experienced Senior Manager to lead end-to-end contract negotiations with hospitals, physician groups, and local systems. You will drive value-based arrangements and collaborate with cross-functional teams to ensure network adequacy and cost discipline.

The role requires deep knowledge of provider contracts, strong analytical skills, and a proven ability to recruit and onboard providers to expand networks while meeting regulatory requirements.

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