Contract Negotiation Manager – Behavioral Health

Job not on LinkedIn

🕒 4 days ago

🏄 California, Idaho, +3 more states – Remote

🏄 California – Remote 🥔 Idaho – Remote 🌶️ New Mexico – Remote 🏰 Missouri – Remote 🤠 Texas – Remote

💵 $66.3k - $145.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Negotiate and execute high-level review and analysis. • Manage dispute resolution and settlement negotiations of contracts with single and group Behavioral Health providers. • Manage contract performance and support the development and implementation of strategic, traditional contracts and value-based contract relationships. • Collaborate cross-functionally to contribute to provider compensation and pricing development activities and recommendations. • Identify and make recommendations to manage cost issues and supporting cost saving initiatives.

🎯 Requirements

• 5 - 7 years experience in healthcare • Minimum 3+ years related experience, proven and proficient managed care network negotiating skills or in provider relations. • Proven working knowledge of competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements. • Strong and persuasive communication skills, especially written communications, with external stakeholders • Strong critical thinking, problem resolution and interpersonal skills • Adept at execution and delivery (planning, delivering, and supporting) skills • A ready business acumen and the ability to balance and articulate competing priorities while making decisions • Adept at collaboration and teamwork • Ability to work Pacific and Mountain, time zones, preferably based in California or Pacific Northwest.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility