Senior Network Contracting Negotiation Manager, Medicaid

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🕒 July 22

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Logo of CVS Health

CVS Health

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, execute, and conduct high-level review and rate analysis • manage contract performance and support the development and implementation of strategic, value-based contract relationships • maintain and enhance provider networks to meet financial goals • recruit providers as needed for network expansion • identify and manage cost issues • represents company with high visibility constituents • participate in JOC meetings • manage complex, contractual relationships with providers • collaborates cross-functionally with internal business partners • provides network development, maintenance, and refinement activities

🎯 Requirements

• 7+ years healthcare industry experience • 5+ years related experience and comprehensive level of provider negotiating skills • Must reside in Michigan • Critical thinking to maintain cost management • Microsoft Office/Excel proficient • Ability to travel in assigned market up to 10-15% of the time as needed (Michigan)

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • CVS Health bonus, commission or short-term incentive program • equity award program

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