Senior Network Contracts Manager for National Health

CVS Health; South Dakota; Ibrido; USD 54.000 - 159.000; Tempo pieno

Vantaggi offerti da questo lavoro

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Descrizione del lavoro

CVS Health is seeking a Contract Negotiations professional to construct, execute, and review contracts with providers, ensuring performance aligns with accessibility, quality, financial, and cost goals.

The role involves cross-functional collaboration, program development, and coaching junior colleagues, with a typical 40-hour work week and full-time status. Compensation includes a CVS Health bonus program and comprehensive benefits.

Competenze

• 5+ years of provider contracting, claims management, or patient management experience.
• 5+ experience working with/or in a Claims environment.
• 5+ experience that includes ACAS and HRP claim platforms, products, and benefits; patient management, provider relations, or claims management.

Mansioni

• Constructs negotiation, execution, review, and analysis of contracts.
• Delivers dispute resolution and settlement negotiations with providers.
• Forecasts changes within the Contract Negotiations industry and develops modification strategies.

Conoscenze

Provider contracting

Formazione

Bachelor's degree preferred

Strumenti

Aetna SCM

Smart Front End

Rate Inquiry

Contract Inquiry

Descrizione del lavoro

CVS Health is seeking a Contract Negotiations professional to construct, execute, and review contracts with providers, ensuring performance aligns with accessibility, quality, financial, and cost goals.

The role involves cross-functional collaboration, program development, and coaching junior colleagues, with a typical 40-hour work week and full-time status. Compensation includes a CVS Health bonus program and comprehensive benefits.