Contract Manager

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🔥 18 hours ago

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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

• Negotiates, executes, reviews, and analyzes contracts • Manages contract performance in support of network quality • Recruits providers to ensure attainment of network expansion targets • Collaborates cross-functionally to contribute to provider compensation • Responsible for identifying and making recommendations to manage cost issues • Provides network development, maintenance, and refinement activities • Ensures resolution of escalated issues related to claims payment • Interprets contractual requirements including federal and state regulations.

🎯 Requirements

• 5+ years of working knowledge in the healthcare industry • 3+ years of experience in provider relationship management or related healthcare roles • Strong communication, critical thinking, problem resolution and interpersonal skills. • Knowledge and/or experience in provider network contracting. • Proficiency in the Microsoft Office Suite • Bachelor's degree preferred or a combination of professional work experience and education.

🏖️ Benefits

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

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