Senior Manager, National Network Management – National Health Systems

Vaga não está no LinkedIn

🔥 19 horas atrás

🏄 California, Florida, +4 estados a mais – Remoto

🏄 California – Remote 🐊 Florida – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote ⚔️ Virginia – Remote 🍑 Georgia – Remote

💵 $67.900 - $182.549 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

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O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 1 dia.
• As vagas desta empresa costumam ser preenchidas em 21 dias.

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CVS Health Careers

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

🛒 Varejo

📦 Logística

Healthcare • Retail • Logistics

CVS Health Careers é a área de recrutamento e employer branding da CVS Health, apresentando oportunidades de trabalho em diversas áreas da empresa — lojas de varejo farmacêutico, serviços de farmácia, clínicas de saúde, centros de distribuição, funções corporativas e transporte. O site de carreiras destaca um trabalho orientado por propósito, focado em melhorar o acesso, a acessibilidade financeira e a qualidade dos cuidados de saúde, além de apresentar uma grande força de trabalho (mais de 300. 000 funcionários), uma cultura inclusiva, benefícios e recursos de contratação para candidatos.

Descrição

• Negotiate and execute contracts with larger and more complex national or regional health systems, hospitals, physician groups and ancillaries • Conduct high-level contract review and analysis • Participate in dispute resolution and settlement negotiations • Design conceptual models and plan initiatives • Manage contract performance and support development and implementation of strategic provider networks • Support accessibility, quality, financial goals, cost initiatives and value-based contract relationships • Identify and manage cost issues and initiate cross-functional cost-saving or settlement activities • Collaborate cross-functionally on provider compensation, pricing development, contractual information and reimbursement modeling • Represent the company with high-visibility constituents, customers and community groups • Facilitate JOC meetings • Manage complex contractual provider relationships according to national and regional network strategies • Serve as subject matter expert for less experienced team members and internal partners • Resolve escalated issues involving claims payment, contract interpretation, contract parameters and provider information accuracy • Evaluate, formulate and implement national network strategic plans to achieve contracting targets and manage medical costs • Interpret contractual requirements, including federal and state regulations and NCQA

🎯 Requisitos

• Minimum of 7 years of related experience • Minimum of 5 years of successful expert-level negotiation experience with large or complex health systems • Comprehensive negotiating skills with a successful track record negotiating contracts with individual or complex provider systems or groups • Critical thinking to maintain cost management and a fully engaged network of participating hospitals, ancillaries and providers • Healthcare industry experience with either a payer or provider • Strong communication, critical thinking, problem resolution and interpersonal skills • Working knowledge of value-based contracting • Internal Aetna system knowledge • Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements • Bachelor's degree preferred or a combination of equivalent work experience and education

🏖️ Benefícios

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program • Company equity award program

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