Contract Negotiation Manager

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🕒 Agosto 12

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $54.300 - $119.340 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 1%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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CVS Health

10.000+ funcionários

Fundada em 1963

🏥 Saúde

⚕️ Seguro de Saúde

🛒 Varejo

Healthcare • Healthcare Insurance • Retail

CVS Health é uma empresa líder de saúde nos Estados Unidos, dedicada a ampliar o acesso e a acessibilidade ao cuidado. A empresa adota uma abordagem abrangente que inclui serviços de saúde, seguro saúde e gestão de benefícios farmacêuticos (PBM). Por meio de suas subsidiárias, como Aetna e CVS Caremark, a CVS Health oferece uma variedade de serviços que promovem o bem-estar, a gestão de condições de saúde e a cobertura acessível de medicamentos prescritos. A CVS Health opera farmácias de bairro, oferece serviços de farmácia por correspondência e gerencia programas de medicamentos de especialidade, com o objetivo de tornar o cuidado com a saúde conveniente e acessível para todos. Movida pela missão de conectar pessoas a serviços essenciais de cuidado, a CVS Health está comprometida em fomentar comunidades mais saudáveis e apoiar o bem-estar de todas as pessoas.

Descrição

• Lead end-to-end contract negotiations, execution, and analysis with ancillary providers, 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 measurable-impact 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 involving claims, contract interpretation, and provider data accuracy

🎯 Requisitos

• 5+ years of experience negotiating contracts with ancillary providers, facilities, and physician groups • Experience developing contract language, analyzing rate proposals, and identifying operational and financial improvement opportunities • Ability to use 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 • Knowledge of provider reimbursement methodologies, contract structures, and industry-standard payment policies and practices • Understanding of provider financial drivers, regulatory requirements, and competitive market dynamics • Advanced proficiency in Microsoft Office, including Excel, Word, and Outlook • Ability to build and maintain collaborative provider relationships and resolve complex contract issues cross-functionally • Strong organization and prioritization skills; ability to manage multiple negotiations and competing priorities while meeting deadlines • Must reside in the state of Indiana • Experience with Commercial and Medicare lines of business preferred • Bachelor's degree preferred or a combination of professional work experience and education

🏖️ Benefícios

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • Comprehensive benefits package for colleagues and their families

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