Senior Network Contracts Lead – Hospitals & Physicians (Value-Based)

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

Benefits offered by this job

Medical insurance

Dental insurance

Vision coverage

Retirement savings

Job summary

CVS Health Corporation is seeking an experienced Senior Manager to lead end-to-end contract negotiations with hospitals and physician groups. The role focuses on value-based agreements, provider recruitment, and cross-functional collaboration to optimize network costs and performance.

You will analyze financial data, drive reimbursement models, and ensure alignment with state requirements while maintaining high-quality care for members.

Qualifications

• 7+ years of experience negotiating contracts with hospitals, facilities, and physician groups.
• 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.

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 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.

Skills

Contract negotiations

Provider relations

Financial analysis

Excel proficiency

Communication

Education

Bachelor's degree

Tools

Excel

Job description

CVS Health Corporation is seeking an experienced Senior Manager to lead end-to-end contract negotiations with hospitals and physician groups. The role focuses on value-based agreements, provider recruitment, and cross-functional collaboration to optimize network costs and performance.

You will analyze financial data, drive reimbursement models, and ensure alignment with state requirements while maintaining high-quality care for members.