Senior Health Network Contracts Leader

4062 Aetna Resources, LLC; Illinois; Hybrid; USD 83,000 - 183,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Retirement savings options

Wellness programs

Paid time off

Job summary

CVS Health is seeking a Senior Contract Manager for First Health Network Management in Illinois. This individual contributor role focuses on contracting initiatives, data audits, and provider network improvements to meet accessibility, quality, and financial goals.

You will review, build, and audit complex contracts, collaborate on negotiations, and recruit providers to expand the network while ensuring compliance with NCQA and regulatory standards.

Qualifications

• 7+ years leading complex contracting initiatives.
• 5+ years in healthcare contracting and regulatory contexts.
• Ability to manage priorities, timelines, and budgets.
• Experience influencing cross-functional stakeholders.
• Interaction with providers to support network growth and pricing.
• Knowledge of contract loading, administration, and NCQA concepts.

Responsibilities

• Negotiate, execute, review, and analyze contracts with providers.
• Collaborate cross-functionally on provider compensation and pricing.
• Support network development and improvement initiatives.
• Monitor contract performance in quality, availability, and financial goals.
• Engage in cost-saving initiatives and settlement activities as needed.
• Interpret federal and state regulations and contract requirements.

Skills

Contract management

Data analysis

Cross-functional collaboration

Negotiation

Provider network development

Regulatory compliance

Education

Bachelor's degree

Tools

Microsoft Office Suite

Job description

CVS Health is seeking a Senior Contract Manager for First Health Network Management in Illinois. This individual contributor role focuses on contracting initiatives, data audits, and provider network improvements to meet accessibility, quality, and financial goals.

You will review, build, and audit complex contracts, collaborate on negotiations, and recruit providers to expand the network while ensuring compliance with NCQA and regulatory standards.