Strategic Provider Contracts & Network Manager
CVS Health
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Benefits offered by this job
Job summary
CVS Health in Nebraska seeks a contract negotiations specialist to structure, analyze, and execute contracts with providers, and to lead dispute resolution and settlements. This role collaborates with network teams to align performance with accessibility, quality, and cost goals.
It also develops programs to advance negotiation initiatives. The ideal candidate has 5+ years in provider contracting or claims management, experience with ACAS/HRP systems, and a Bachelor's degree.
Qualifications
- 5+ years of provider contracting, claims management, or patient management experience.
- 5+ years working in a Claims environment.
- Experience with ACAS and HRP claim platforms, products, and benefits.
Responsibilities
- Constructs contract negotiation, execution, review, and analysis.
- Delivers dispute resolution and settlement negotiations with providers.
- Ensures contract performance aligns with accessibility, compliance, quality, financial, and cost goals.
- Develops programs and innovative initiatives for contract negotiations initiatives.
- Forecasts industry changes and develops modification strategies with process improvement methodologies.
- Integrates cross-functional collaboration to support provider compensation and pricing development.
Skills
Education
Tools
Job description
CVS Health in Nebraska seeks a contract negotiations specialist to structure, analyze, and execute contracts with providers, and to lead dispute resolution and settlements. This role collaborates with network teams to align performance with accessibility, quality, and cost goals.
It also develops programs to advance negotiation initiatives. The ideal candidate has 5+ years in provider contracting or claims management, experience with ACAS/HRP systems, and a Bachelor's degree.
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