Senior Network Contracts Manager — Health Systems

CVS Health; Illinois; Hybrid; USD 54,000 - 159,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is hiring for a contract-focused role in Illinois. The position involves negotiating, executing, reviewing, and analyzing contracts, while delivering dispute resolution with providers and ensuring performance aligns with accessibility and quality goals.

Ideal applicants have 5+ years in provider contracting or claims, familiarity with ACAS/HRP modules, and a Bachelor's degree or equivalent experience. 40 hours/week, full-time with comprehensive benefits.

Qualifications

• 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.

Responsibilities

• Constructs negotiation, execution, review, and analysis of contracts.
• Delivers dispute resolution and settlement negotiations with providers.
• Ensures contract performance aligns with accessibility, compliance, quality, financial, and cost goals.
• Develop, maintain, and enhance relationships with physicians/providers and local network teams.
• Forecasts changes within the industry and develops modification strategies with process improvements.
• Integrates cross-functional collaboration for provider compensation and pricing development.
• Coaches junior colleagues in techniques and responsibilities.

Skills

Provider contracting

Claims management

Patient management

Education

Bachelor's degree preferred

Tools

ACAS & HRP platforms

Job description

CVS Health is hiring for a contract-focused role in Illinois. The position involves negotiating, executing, reviewing, and analyzing contracts, while delivering dispute resolution with providers and ensuring performance aligns with accessibility and quality goals.

Ideal applicants have 5+ years in provider contracting or claims, familiarity with ACAS/HRP modules, and a Bachelor's degree or equivalent experience. 40 hours/week, full-time with comprehensive benefits.