Strategic Provider Contracts & Payor Relations Manager

4062 Aetna Resources, LLC; Kentucky; Hybrid; USD 60,000 - 133,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Other benefits

Job summary

CVS Health is seeking a Manager of Contract Negotiation to lead provider contracts and relationships in the Northern Ohio market. You will oversee negotiation and execution, ensure implementation of negotiated terms, and monitor performance against accessibility, quality, and cost objectives.

The role requires 5 years in healthcare administration or health insurance operations and 3+ years managing provider relationships.

Qualifications

• 5 years of experience in healthcare administration or health insurance operations.
• 3+ years managing provider relationships and contract management.
• Demonstrated ability to collaborate with internal and external stakeholders to identify root causes and drive timely solutions.
• Proficiency in Microsoft Word, Excel, and PowerPoint.

Responsibilities

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

Skills

Healthcare administration

Provider relations

Contract management

Data analysis

Microsoft Office

Education

Bachelor's degree

Tools

EPDB

Strategic Contract Manager (SCM)

Provider Data Management

Job description

CVS Health is seeking a Manager of Contract Negotiation to lead provider contracts and relationships in the Northern Ohio market. You will oversee negotiation and execution, ensure implementation of negotiated terms, and monitor performance against accessibility, quality, and cost objectives.

The role requires 5 years in healthcare administration or health insurance operations and 3+ years managing provider relationships.