Strategic Network Contracts & Negotiations Manager

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

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Job summary

CVS Health is seeking a Contract Negotiations professional to construct, review and optimize contracts with providers and networks. You will lead dispute resolution, ensure performance against accessibility and quality goals, and collaborate across teams to support compensation and pricing strategies.

The role emphasizes cross-functional teamwork with a focus on cost control, network development, and negotiations.

Qualifications

• 5+ years of provider contracting experience.
• 5+ years experience in a Claims environment.
• 5+ years 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.
• Integrates cross-functional collaboration to support provider compensation and pricing development in negotiations and reimbursement modeling.
• Assists in network development, maintenance, and refinement activities to support cross-market network management.

Skills

Provider contracting

Claims management

ACAS & HRP platforms

Patient management

Education

Bachelor's degree preferred

Tools

Aetna SCM

Smart Front End

Rate Inquiry

Contract Inquiry

Job description

CVS Health is seeking a Contract Negotiations professional to construct, review and optimize contracts with providers and networks. You will lead dispute resolution, ensure performance against accessibility and quality goals, and collaborate across teams to support compensation and pricing strategies.

The role emphasizes cross-functional teamwork with a focus on cost control, network development, and negotiations.