Senior Manager, Network Contracting

Vaga não está no LinkedIn

🕒 Setembro 21

🌽 Illinois – Remoto

🌽 Illinois – Remote

💵 $82.940 - $182.549 / ano

⏰ Tempo Integral

🟠 Sênior

👔 Gerente

👻 Score fantasma 17%

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 52 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.

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CVS Health

SiteLinkedInTodas as Vagas

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

• Negotiate, execute, conduct high-level review and analysis, and resolve disputes or conduct settlement negotiations for contracts • Manage larger and more complex market, regional, and national provider groups and systems • Contract and implement fee-for-service and value-based agreements with physician groups, facilities, and ancillary providers • Collaborate with Aetna and CVS departments to improve physician performance and quality of care • Recruit providers to achieve network expansion and adequacy targets • Manage cost arrangements within defined provider groups • Partner cross-functionally on provider compensation, pricing development, contractual information submission, and reimbursement modeling • Lead end-to-end contract negotiations, execution, and analysis • Manage contract performance and develop and implement value-based arrangements • Identify, recruit, and onboard providers • Analyze financial and operational data to identify cost-saving opportunities and execute impact-driving 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

• 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 the state of Illinois • 10% travel required • Advanced Excel experience, including pivot tables and v-lookup function • Commercial, individual exchange and Medicare experience preferred • Experience contracting with hospital systems and groups preferred • Bachelor's degree preferred or a combination of professional work experience and education

🏖️ Benefícios

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Comprehensive benefits package supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program • Award target in the company’s equity award program

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