Strategic Network Contracts & Negotiations Manager

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

Benefits offered by this job

Bonus program

Job summary

CVS Health is seeking a seasoned professional to construct negotiation, execution, review, and analysis of contracts with providers. The role focuses on dispute resolution, settlement negotiations, and ensuring contract performance aligns with accessibility, compliance, quality, and cost goals.

Key responsibilities include managing provider relationships, developing negotiation initiatives, and cross-functional collaboration to support pricing and reimbursement modeling.

Qualifications

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

Responsibilities

• Constructs negotiation, execution, review, and analysis of contracts.
• Delivers dispute resolution and settlement negotiations with providers.
• Coaches more junior colleagues in techniques, processes, and responsibilities.
• Other duties and responsibilities as assigned by manager.

Skills

Provider contracting

Claims environment

ACAS HRP

Education

Bachelor's degree

Tools

SCM

Smart Front End

Rate Inquiry

Contract Inquiry

Job description

CVS Health is seeking a seasoned professional to construct negotiation, execution, review, and analysis of contracts with providers. The role focuses on dispute resolution, settlement negotiations, and ensuring contract performance aligns with accessibility, compliance, quality, and cost goals.

Key responsibilities include managing provider relationships, developing negotiation initiatives, and cross-functional collaboration to support pricing and reimbursement modeling.