Behavioral Health Contract Negotiation Manager

Job not on LinkedIn

🔥 0 minutes ago

⛰️ Colorado, Illinois, +10 more states – Remote

⛰️ Colorado – Remote 🌽 Illinois – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🐎 Kentucky – Remote 🌾 Nebraska – Remote 🌾 North Dakota – Remote 🚗 Michigan – Remote ❄️ Minnesota – Remote 🏰 Missouri – Remote 🗿 South Dakota – Remote 🧀 Wisconsin – Remote

💵 $66.3k - $145.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 0%

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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 competitive contracts with behavioral healthcare providers in alignment with internal guidelines and financial standards • Draft and review contract language, collaborating with cross-functional teams on non-standard terms • Conduct financial and competitive analyses to achieve best-in-market discounts and meet financial targets • Manage contract performance and coordinate with internal departments to resolve contract execution, loading, and maintenance issues • Support implementation of value-based contracts aligned with business strategies • Build and maintain relationships with key providers and resolve escalated claims, contract interpretation, and provider data accuracy issues • Negotiate settlements and recruit providers as needed to ensure network adequacy and support expansion goals • Maintain accountability for specific medical cost initiatives

🎯 Requirements

• 5+ years of provider contracting and relationship experience, including contract language, rate proposals, and financial analysis • Strong proficiency in Microsoft Office Suite, including Excel, Word, and PowerPoint • Demonstrated ability to use competitive and financial data to negotiate favorable contracts • Experience in Behavioral Health Contracting, Provider Network Management, or Behavioral Health Operations • Strong critical thinking, problem-solving, organizational, communication, and interpersonal skills • Ability to manage multiple negotiations and tasks simultaneously, meet deadlines, and maintain strong external and internal relationships • Strong preference for candidates residing in the Central Region states, including Illinois, Colorado, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, or Wisconsin • Bachelor's degree, or equivalent combination of education and professional experience

🏖️ 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