Contract Negotiation Manager – Behavioral Health

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🔥 48 minutes ago

🏄 California, New Mexico, +2 more states – Remote

🏄 California – 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 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

• negotiate and execute high-level review and analysis, manage dispute resolution and settlement negotiations of contracts with single and group Behavioral Health providers within a defined market • manage contract performance and support the development and implementation of strategic, traditional contracts and value-based contract relationships • recruit Behavioral Health providers as needed to ensure attainment of network expansion and adequacy targets for all lines of business (Medicare, commercial etc.) • collaborate cross-functionally to contribute to provider compensation and pricing development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities • provides Behavioral Health network development, maintenance, and refinement activities and strategies in support of cross-market network management unit

🎯 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

🏖️ Benefits

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