Strategic Network Contracts Manager

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

Job summary

CVS Health is seeking a Contract Negotiations professional to lead contract negotiation, execution, and review with providers. You will drive dispute resolution and ensure performance aligns with accessibility, quality, and cost goals.

The role involves building relationships with physicians/providers, forecasting industry changes, and guiding cost-saving strategies while mentoring junior teammates.

Qualifications

• 5+ years in provider contracting, claims management, or patient management.
• Experience with ACAS and HRP claim platforms; knowledge of provider relations.
• Degree preference: Bachelor's level or higher.

Responsibilities

• Constructs negotiation, execution, review, and analysis of contracts.
• Delivers dispute resolution and settlement negotiations with providers.
• Ensures contract performance aligns with accessibility, quality, and cost goals.
• Develops relationships with physicians/providers and local teams.
• Forecasts industry changes and develops modification strategies.
• Coaches junior colleagues and supports cross-functional collaboration.

Skills

Provider contracting

Claims management

Patient management

Contract negotiations

Education

Bachelor's degree preferred

Tools

ACAS

HRP claim platforms

SCM

Smart Front End

Rate Inquiry

Contract Inquiry

Job description

CVS Health is seeking a Contract Negotiations professional to lead contract negotiation, execution, and review with providers. You will drive dispute resolution and ensure performance aligns with accessibility, quality, and cost goals.

The role involves building relationships with physicians/providers, forecasting industry changes, and guiding cost-saving strategies while mentoring junior teammates.