Senior Network Contracting Leader Provider Partnerships

CVS Health Corporation; United States; Remote; USD 83,000 - 183,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement plan

Job summary

CVS Health seeks a Senior Manager to negotiate, execute and analyze contracts with hospitals, facilities, and physician groups for commercial and exchange networks. This is an individual contributor role focused on contracting and cost initiatives.

You will lead end-to-end negotiations, develop value-based arrangements, recruit providers to meet network targets, and collaborate with Aetna and CVS teams to improve quality of care while controlling costs.

Qualifications

• 7+ years of experience negotiating contracts with hospitals, facilities, and physician groups.
• 3+ years of provider relationship management or related healthcare roles.
• Knowledge of provider financial issues, contracting options and regulatory requirements.
• Strong communication, critical thinking and interpersonal skills.

Responsibilities

• Lead end-to-end contract negotiations and analysis with hospital and physician groups.
• Manage contract performance and value-based arrangements.
• Recruit providers to meet network expansion and cost targets.
• Support provider compensation strategy, pricing development and reimbursement modeling.
• Analyze financial and operational data to identify cost-savings opportunities.
• Represent the organization with providers, customers and community stakeholders.
• Contribute to provider network strategy ensuring alignment with state requirements and product needs.

Skills

Contract negotiations

Provider relations

Financial analysis

Communication skills

Education

Bachelor’s degree

Tools

Excel

Job description

CVS Health seeks a Senior Manager to negotiate, execute and analyze contracts with hospitals, facilities, and physician groups for commercial and exchange networks. This is an individual contributor role focused on contracting and cost initiatives.

You will lead end-to-end negotiations, develop value-based arrangements, recruit providers to meet network targets, and collaborate with Aetna and CVS teams to improve quality of care while controlling costs.