Senior Manager, Network Contracting

Vaga não está no LinkedIn

🕒 Outubro 29

🌽 Illinois – Remoto

🌽 Illinois – Remote

💵 $82.940 - $182.549 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

👻 Score fantasma 0%

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 13 dias.
• 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

• Lead end-to-end contract negotiations, execution, and analysis with hospitals, physician groups, and smaller/local systems • Manage contract performance and develop and implement value-based arrangements aligned with organizational strategy • Identify, recruit, and onboard providers to meet network expansion and adequacy targets • Deliver competitive and sustainable cost arrangements • Partner cross-functionally on provider compensation strategy, pricing development, and reimbursement modeling • Analyze financial and operational data to identify cost-saving opportunities and execute impactful initiatives • Represent the organization with providers, customers, and community stakeholders • Evaluate and contribute to provider network strategy aligned with state requirements, product needs, and cost management objectives • Optimize provider engagement and resolve complex escalations related to claims, contract interpretation, and provider data accuracy • Collaborate with Aetna and CVS departments to improve physician performance and quality of care • Conduct high-level review and analysis, dispute resolution, and settlement negotiations of contracts

🎯 Requisitos

• 7+ years of experience negotiating contracts with hospitals, facilities, and physician groups • Experience with contract language development, rate proposal analysis, and identifying operational and financial improvement opportunities • Ability to leverage competitive market data, financial metrics, and detailed analysis to secure favorable contract outcomes • 3+ years of experience in provider relationship management or related healthcare roles • Proven contract management expertise • Working knowledge of provider financial issues and competitor strategies • Knowledge of large/complex contracting options, financial/contracting arrangements, and regulatory requirements • Strong communication, critical thinking, problem resolution and interpersonal skills • Candidates must reside in Illinois • 10% travel required • Bachelor's degree preferred or a combination of professional work experience and education • Preferred: commercial, individual exchange and Medicare experience • Preferred: experience contracting with hospital systems and groups • Preferred: advanced Excel experience including pivot tables and VLOOKUP

🏖️ Benefícios

• CVS Health bonus, commission or short-term incentive program • Equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other well-being resources

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