Senior Manager, Network Management

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

Benefits offered by this job

Comprehensive benefits

Bonus eligibility

Equity awards

Job summary

CVS Health Corporation in the United States is seeking a Senior Manager to lead end-to-end contract negotiations with hospital and physician groups, and to drive value-based arrangements that support access, quality, and cost management.

The role collaborates with Aetna and CVS departments to improve physician performance, recruit providers, and optimize pricing and reimbursement modeling. A strong background in provider relations and data-driven negotiation is essential.

Qualifications

• 7+ years of experience negotiating contracts with hospitals, facilities, and physician groups, including language development and rate analysis.
• Ability to leverage competitive market data, financial metrics, and detailed analysis to secure favorable contract outcomes.
• 3+ years of provider relationship management or related healthcare roles with proven contract management expertise.
• Knowledge of provider financial issues, contracting options, regulatory requirements and competitive strategies.

Responsibilities

• Lead end-to-end contract negotiations with hospital and physician groups.
• Manage contract performance and develop value-based arrangements aligned with strategy.
• Identify, recruit, and onboard providers to meet network targets and cost objectives.
• Support provider compensation strategy, pricing development, and reimbursement modeling.
• Analyze financial and operational data to identify cost-saving opportunities and measurable impact.
• Represent the organization with providers, customers, and stakeholders to strengthen partnerships.
• Evaluate provider network strategy for alignment with state requirements and product needs.
• Improve provider engagement and resolve escalations related to claims and contract interpretation.

Skills

Contract negotiations

Provider relationship management

Financial analysis

Communication skills

Education

Bachelor's degree

Tools

Excel

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

**This is an individual contributor role.**

**Strong preference for the candidate to sit in Dallas-Fort Worth area or Oklahoma**

Position Summary

The Senior Manager negotiates, executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of contracts. Works with larger and more complex, market/regional/national based groups/systems in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives. The Senior Manager will be responsible for contracting and implementing fee for service and value-based agreements with key physician groups, facilities, and ancillary providers to support commercial and individual exchange networks. This person will also work collaboratively with Aetna and CVS departments to identify initiatives to improve physician performance and quality of care provided to our members. Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within defined groups. Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.

What You'll Do

• 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.

Required Qualifications

• 7+ years of experience negotiating contracts with hospitals, facilities, and physician groups, including contract language development, rate proposal analysis, and identification of operational and financial improvement opportunities.
• Demonstrated ability to leverage competitive market data, financial metrics, and detailed analysis to secure favorable contract outcomes.
• 3+ years of experience in provider relationship management or related healthcare roles, with proven contract management expertise.
• Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting options, financial/contracting arrangements, and regulatory requirements.
• Strong communication, critical thinking, problem resolution and interpersonal skills.

Preferred Qualifications

• Commercial, individual exchange and Medicare experience.
• Experience contracting with hospital systems and groups.
• Advanced Excel experience including pivot tables and v-lookup function.

Education

• Bachelor's degree preferred or a combination of professional work experience and education.

Pay Range

The typical pay range for this role is:

$67,900.00 - $165,954.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/06/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.