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.
Senior Manager, Network Management
Job not on LinkedIn
🕒 April 15
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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, and analyzes contracts with larger and more complex healthcare group/system providers • Conducts high-level review and analysis of contracts with large hospitals and health systems • Manages and facilitates dispute resolution processes to address issues arising from provider contracts • Implements strategies to enhance and expand the provider network • Aligns provider contracts with financial goals and cost-saving initiatives • Ensures that all provider contracts adhere to regulatory requirements • Provides leadership, guidance, and mentorship to a team of professionals
🎯 Requirements
• A minimum 7 years of experience contracting with providers within the healthcare industry • A minimum 5 years of direct hospital contracting experience • Experience with Commercial and Medicare lines of business • Ability to travel within assigned territory if needed • Strong understanding of the Connecticut market, including local payer and provider dynamics • Hands-on experience with value-based contracting and alternative payment arrangements • Bachelor's degree or a combination of professional work experience and education.
🏖️ Benefits
• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs
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