Strategic Behavioral Health Contracts Lead

Istss

Illinois

On-site

USD 66,000 - 146,000

Full time

3 days ago
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Benefits offered by this job

Benefits package

Job summary

CVS Health, through its Aetna Network Management team, seeks a Behavioral Health Contract Negotiator to build and maintain a high-performing provider network. You will negotiate contracts, review language, and analyze financial data to secure favorable terms that align with internal guidelines and value-based care objectives.

You will collaborate with cross-functional teams, manage contract execution and ongoing maintenance, recruit providers when needed, and maintain strong relationships with

Qualifications

  • 5+ years of provider contracting and relationship experience.
  • Proficient in Excel, Word, and PowerPoint.
  • Ability to use data to negotiate favorable contracts.
  • Strong communication and analytical skills.

Responsibilities

  • Negotiate competitive contracts with behavioral healthcare providers, ensuring alignment with internal guidelines and financial standards.
  • Draft and review contract language, collaborating with cross-functional teams for non-standard terms.
  • Conduct financial and competitive analyses to achieve best-in-market discounts and meet financial targets.
  • Manage contract performance and coordinate with internal departments to resolve issues related to contract execution, loading, and ongoing maintenance.
  • Support the implementation of value-based contracts in line with business strategies.
  • Build and maintain strong relationships with key providers, ensuring timely resolution of escalated issues such as claims, contract interpretation, and provider data accuracy.

Skills

Provider contracting
Microsoft Office
Financial analysis
Negotiation
Relationship management

Education

Bachelor's degree

Tools

Excel

Job description

CVS Health, through its Aetna Network Management team, seeks a Behavioral Health Contract Negotiator to build and maintain a high-performing provider network. You will negotiate contracts, review language, and analyze financial data to secure favorable terms that align with internal guidelines and value-based care objectives.

You will collaborate with cross-functional teams, manage contract execution and ongoing maintenance, recruit providers when needed, and maintain strong relationships with

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