Contract Negotiation Manager – Florida

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🕒 April 24

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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

• Recruits providers as needed to ensure network adequacy and achievement of network expansion goals • Negotiates contracts with health care providers using pre-determined internal guidelines and financial standards • Develops rate proposals and performs financial analyses to ensure that results are within pre-determined targets • Manages contract performance and works with various internal departments to address questions, issues, and activities related to execution, loading, and ongoing maintenance of provider contracts • Negotiates settlements as needed

🎯 Requirements

• A minimum of five years of experience negotiating contracts with providers, facilities, and physician groups • Highly organized and able to successfully manage and prioritize multiple negotiations, issues, and other tasks • Demonstrates high proficiency with Microsoft Office suite applications (e.g., Outlook, Word, Excel, etc.) • Understanding of common contract provisions, provider reimbursement methodologies and terms, and industry standard payment policies and practices • Education Bachelor’s Degree or equivalent combination of education and professional work experience.

🏖️ Benefits

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

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