Strategic Provider Contracts Manager

CVS Health; Florida; On-site; USD 54,000 - 119,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking an experienced professional to negotiate and manage provider contracts, supporting a high-quality network and cost-effective care delivery. The role focuses on contract language, rate proposals, and cross-functional collaboration with internal teams.

You'll help recruit providers and optimize reimbursement strategies while maintaining compliance and financial goals within a large, national network.

Qualifications

• Minimum 5 years negotiating contracts with ancillary providers, facilities, and physician groups.
• Experience with contract language, rate proposals, and data analysis.
• Strong knowledge of provider reimbursement methodologies and terms.

Responsibilities

• Negotiate, execute, review, and analyze contracts with providers to meet accessibility, quality, and financial goals.
• Manage contract performance to support network quality and financial targets.
• Recruit providers to ensure network expansion and adequacy targets.
• Collaborate cross-functionally on provider compensation and pricing development.
• Identify cost-saving opportunities and support settlement activities.
• Provide network development and management strategies across markets.

Skills

Contract negotiation

Provider relationship management

Financial analysis

Microsoft Office

Education

Bachelor's degree

Tools

Smart Front End

ASD

HRP

MedCompass

RUMBA applications

Job description

CVS Health is seeking an experienced professional to negotiate and manage provider contracts, supporting a high-quality network and cost-effective care delivery. The role focuses on contract language, rate proposals, and cross-functional collaboration with internal teams.

You'll help recruit providers and optimize reimbursement strategies while maintaining compliance and financial goals within a large, national network.