Strategic Network Contracts Manager

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

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health in Kansas is seeking a Contract Negotiations specialist to construct and execute provider contracts, review settlements, and ensure alignment with accessibility, quality and cost goals. You will develop relationships with physicians/providers, lead negotiation initiatives, and collaborate across teams to support reimbursement modeling and cost-saving strategies.

Strong ACAS/HRP experience and a Bachelor's degree are preferred.

Qualifications

• 5+ years in provider contracting, claims management, or patient management.
• 5+ years in a Claims environment.
• 5+ years with ACAS and HRP claim platforms, products and benefits.

Responsibilities

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

Skills

Provider contracting

Claims management

ACAS & HRP platforms

Education

Bachelor's degree

Tools

Aetna systems (SCM, Smart Front End, Rate Inquiry, Contract Inquiry)

Job description

CVS Health in Kansas is seeking a Contract Negotiations specialist to construct and execute provider contracts, review settlements, and ensure alignment with accessibility, quality and cost goals. You will develop relationships with physicians/providers, lead negotiation initiatives, and collaborate across teams to support reimbursement modeling and cost-saving strategies.

Strong ACAS/HRP experience and a Bachelor's degree are preferred.