Strategic Provider Contracts Leader

CVS Health; Kentucky; Hybrid; USD 60,000 - 133,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Other resources

Job summary

CVS Health is seeking a Manager of Contract Negotiation to develop and maintain strategic relationships with physician partners across the Northern Ohio market, leading contract management and provider relations initiatives that support Commercial and Medicare lines.

You will design and review provider contracts, monitor performance for accessibility, quality and cost objectives, mentor teammates, and collaborate cross-functionally to optimize reimbursement models and cost-saving strategies.

Qualifications

• 5 years of experience leading or supporting operational functions within healthcare administration or health insurance environments.
• 3+ years managing provider relationships and overseeing contract management functions.
• Proficiency in Microsoft Word, Excel, and PowerPoint.

Responsibilities

• Lead the development and execution of innovative programs to advance contract negotiation initiatives across the organization.
• Anticipate industry changes, evaluate their impact, and formulate strategic responses.
• Design and implement systems to recruit providers, supporting network expansion and adequacy goals.
• Conduct competitive analyses to inform reimbursement strategies.
• Foster cross-functional collaboration to enhance provider compensation methodologies and analyze financial impacts of reimbursement models.
• Recommend strategies to address cost challenges and drive cost-saving initiatives and settlement activities.
• Support network development, maintenance, and optimization to achieve company and market objectives.
• Mentor colleagues on best practices, processes, and responsibilities to strengthen team capabilities.

Skills

Healthcare operations experience

Provider relations experience

Contract management experience

Stakeholder collaboration

Analytical problem solving

Education

Bachelor's degree

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Job description

CVS Health is seeking a Manager of Contract Negotiation to develop and maintain strategic relationships with physician partners across the Northern Ohio market, leading contract management and provider relations initiatives that support Commercial and Medicare lines.

You will design and review provider contracts, monitor performance for accessibility, quality and cost objectives, mentor teammates, and collaborate cross-functionally to optimize reimbursement models and cost-saving strategies.