Contract Negotiation Manager

Job not on LinkedIn

🔥 3 hours ago

🌲 Oregon – Remote

🌲 Oregon – Remote

💵 $60.3k - $132.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 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.

📋 Description

• Negotiate, execute, review, and analyze contracts and handle dispute resolution and settlement negotiations with solo, small group, or local providers, including SCAs, LOAs, and PPAs • Manage contract performance in support of network quality, availability, and financial goals and strategies • Recruit providers to achieve network expansion and adequacy targets • Collaborate cross-functionally on provider compensation and pricing development, contractual information submission, and report review and analysis for negotiation and reimbursement modeling • Identify and recommend ways to manage cost issues and support cost-saving initiatives and settlement activities • Provide network development, maintenance, and refinement activities and strategies for cross-market network management • Assist with strategic network configuration design, development, management, implementation, and integration activities • Optimize interactions with assigned providers and internal business partners and manage relationships • Resolve escalated issues involving claims payment, contract interpretation and parameters, and provider contract or demographic information accuracy • 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 • Candidates residing on the West Coast are strongly preferred • Bachelor's degree preferred or a combination of professional work experience and education

🏖️ 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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