Senior Network Contracting Lead: Hospitals & Providers

Socket.dev; Illinois; On-site; USD 83,000 - 183,000; Full time

Job summary

CVS Health is seeking a Senior Manager to lead end-to-end contract negotiations with hospital and physician groups, and to implement value-based agreements. The role focuses on expanding provider networks, optimizing costs, and collaborating with CVS teams to improve performance and care quality for members.

The role requires 7+ years in contract negotiations, 3+ years in provider relationship management, strong analytical and communication skills, and Illinois residency, with about 10% travel.

Qualifications

• 7+ years of experience negotiating contracts with hospitals, facilities, and physician groups.
• 3+ years of provider relationship management or related healthcare roles.
• Strong knowledge of provider financial issues, contracting and regulatory requirements.
• Excellent communication and problem-solving skills.
• Candidates must reside in Illinois and travel about 10%.

Responsibilities

• Lead end-to-end contract negotiations with hospitals and physician groups.
• Drive value-based arrangements and cost-saving opportunities.
• Recruit and onboard providers to meet network targets.
• Collaborate cross-functionally on compensation, pricing, and reimbursement modeling.
• Analyze financial/operational data to identify opportunities and impact.
• Represent CVS Health with providers, customers, and stakeholders.
• Contribute to provider network strategy ensuring regulatory alignment.
• Optimize provider engagement and resolve escalations.

Skills

Contract negotiations

Provider management

Financial analysis

Communication

Travel willingness

Education

Bachelor's degree

Tools

Excel (Advanced)

Job description

CVS Health is seeking a Senior Manager to lead end-to-end contract negotiations with hospital and physician groups, and to implement value-based agreements. The role focuses on expanding provider networks, optimizing costs, and collaborating with CVS teams to improve performance and care quality for members.

The role requires 7+ years in contract negotiations, 3+ years in provider relationship management, strong analytical and communication skills, and Illinois residency, with about 10% travel.