Senior Network Contracting & Value-Based Partnerships Lead

CVS Health; Springfield (IL); On-site; USD 83,000 - 183,000; Full time

Benefits offered by this job

Bonus program

Equity awards

Job summary

CVS Health is seeking a Senior Manager to lead end-to-end contract negotiations with hospitals, physician groups, and local systems. You will manage contract performance, drive value-based arrangements, and recruit providers to meet network expansion targets while ensuring cost competitiveness.

This role requires 7+ years in contract negotiation, 3+ years in provider relations, and strong financial and analytical capabilities. Based in Illinois, travel up to 10% is expected.

Qualifications

• 7+ years of contract negotiations with hospitals, facilities, and physician groups.
• 3+ years of provider relationship management or related healthcare roles.
• Knowledge of provider financial issues, contracting options, financial/contracting arrangements, and regulatory requirements.
• Strong communication, critical thinking, problem resolution and interpersonal skills.
• Candidates must reside in the state of Illinois.
• 10% travel required.

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 value-based arrangements aligned with organizational strategy.
• Identify, recruit, and onboard providers to meet network expansion and adequacy targets; deliver competitive, 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 representative of the organization with providers, customers, and community stakeholders.
• Evaluate 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.]
• CoT_job_summary_short
• COMPANY NAME: CVS HealthKEY POINTS: End-to-end contract negotiations, provider network expansion, value-based agreements, cross-functional collaboration

Skills

Contract negotiations

Provider relationship management

Financial analysis

Communication

Education

Bachelor's degree preferred

Tools

Excel

Pivot tables

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Job description

CVS Health is seeking a Senior Manager to lead end-to-end contract negotiations with hospitals, physician groups, and local systems. You will manage contract performance, drive value-based arrangements, and recruit providers to meet network expansion targets while ensuring cost competitiveness.

This role requires 7+ years in contract negotiation, 3+ years in provider relations, and strong financial and analytical capabilities. Based in Illinois, travel up to 10% is expected.