Senior Manager, Healthcare Contracting & Network Strategy

CVS Health; Clifton (TX); On-site; USD 68,000 - 166,000; Full time

Benefits offered by this job

Bonus program

Equity awards

Comprehensive benefits package

Paid time off

Retirement savings options

Job summary

CVS Health in the United States is seeking a Senior Manager to lead end-to-end contract negotiations with hospitals and physician groups, focusing on value-based agreements and cost optimization. You will coordinate with cross-functional teams to ensure network growth, quality, and financial targets are met.

The role emphasizes strong analytical and negotiation skills, with a preference for candidates in the Dallas–Fort Worth area or Oklahoma.

Qualifications

• 7+ years negotiating contracts with hospitals, facilities, and physician groups.
• 3+ years provider relationship management with contract management experience.
• Ability to analyze data and leverage market metrics for favorable outcomes.
• Knowledge of provider financial issues, contracting options, and regulatory requirements.
• Excellent communication and interpersonal skills.
• Experience with commercial, individual exchange and Medicare contracts.
• Advanced Excel experience including pivot tables and VLOOKUP.

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.
• Identify, recruit, and onboard providers to meet network expansion and adequacy targets; deliver 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 drive measurable impact.
• Serve as a key representative with providers, customers, and community stakeholders to strengthen partnerships.
• Evaluate provider network strategy for alignment with state requirements and product needs.
• Optimize provider engagement and resolve escalations related to claims and data accuracy.

Skills

Negotiation skills

Contract management

Financial analysis

Communication

Problem solving

Education

Bachelor's degree preferred

Tools

Excel

Job description

CVS Health in the United States is seeking a Senior Manager to lead end-to-end contract negotiations with hospitals and physician groups, focusing on value-based agreements and cost optimization. You will coordinate with cross-functional teams to ensure network growth, quality, and financial targets are met.

The role emphasizes strong analytical and negotiation skills, with a preference for candidates in the Dallas–Fort Worth area or Oklahoma.