Senior Provider Contracts & Networks Manager

CVS Health; Illinois; On-site; USD 83,000 - 183,000; Full time

Benefits offered by this job

Bonus program

Equity award program

Comprehensive benefits

Job summary

CVS Health is seeking an experienced Senior Manager to lead end-to-end contract negotiations with hospital and physician groups, broker value-based agreements, and oversee provider network strategies across Illinois. You will collaborate with cross-functional teams to optimize pricing, reimbursement modeling, and cost arrangements for commercial and exchange networks.

The role requires a strong track record in contract management, financial analysis, and stakeholder engagement, with travel up to

Qualifications

• 7+ years of experience negotiating contracts with hospitals, facilities, and physician groups, including contract language development, rate proposal analysis, and identification of operational and financial improvement opportunities.
• 3+ years of experience in provider relationship management or related healthcare roles, with proven contract management expertise.
• Proven working knowledge of provider financial issues and competitor strategies, large/complex 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 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 relationship management

Financial analysis

Communication skills

Illinois residency

Travel readiness

Education

Bachelor's degree preferred

Tools

Excel

Pivot tables

VLOOKUP

Job description

CVS Health is seeking an experienced Senior Manager to lead end-to-end contract negotiations with hospital and physician groups, broker value-based agreements, and oversee provider network strategies across Illinois. You will collaborate with cross-functional teams to optimize pricing, reimbursement modeling, and cost arrangements for commercial and exchange networks.

The role requires a strong track record in contract management, financial analysis, and stakeholder engagement, with travel up to