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Contract Negotiation Manager

Job not on LinkedIn

🔥 12 minutes ago

🌵 Arizona – Remote

infoinfo

đź’µ $60.3k - $132.6k / year

⏰ Full Time

🟡 Mid-level

đźź  Senior

đź‘” Manager

Where this job comes from

Posted on CVS Health Careers's careers page, not through a job board

First seen by Remote Rocketship 12 minutes ago

Logo of CVS Health Careers

CVS Health Careers

10,000+ employees

🏥 Healthcare

đź›’ Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

đź“‹ Description

• Negotiate, execute, review, and analyze contracts with solo, small group, or local providers, including SCAs, LOAs, and PPAs • Handle dispute resolution and settlement negotiations • Manage contract performance to support network quality, availability, and financial goals • Recruit providers to achieve network expansion and adequacy targets • Collaborate on provider compensation, pricing development, contractual information, negotiation, and reimbursement modeling activities • Identify and recommend ways to manage cost issues and support cost-saving initiatives and settlement activities • Perform network development, maintenance, and refinement activities • Assist with strategic network configurations and integration activities • Optimize interactions with assigned providers and internal business partners • Resolve escalated issues involving claims payment, contract interpretation, and provider contract or demographic information • Interpret contractual requirements, including federal and state regulations and NCQA

🎯 Requirements

• 5+ years of working knowledge of the healthcare industry, including competitor strategies, complex contracting options, financial and contracting arrangements, and regulatory requirements • 3+ years of experience in provider relationship management or related healthcare roles • Proven and proficient contract management skills • Strong communication, critical thinking, problem-resolution and interpersonal skills • Proficiency in Microsoft Office Suite, including Excel, Word, PowerPoint, and Outlook • Bachelor's degree preferred or a combination of professional work experience and education • Candidates residing on the West Coast are strongly preferred

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program in addition to base pay

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