Contract Negotiation Manager

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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

• Lead end-to-end contract negotiations, execution, and analysis with ancillary providers, physician groups, and smaller/local systems • Manage contract performance and develop and implement value-based arrangements aligned with organizational strategy • Identify, recruit, and onboard providers to meet network expansion and adequacy targets • Deliver competitive and sustainable cost arrangements • Partner cross-functionally on provider compensation strategy, pricing development, and reimbursement modeling • Analyze financial and operational data to identify cost-saving opportunities and execute measurable-impact initiatives • Represent the organization with providers, customers, and community stakeholders • Evaluate and contribute to provider network strategy aligned with state requirements, product needs, and cost management objectives • Optimize provider engagement and resolve complex escalations involving claims, contract interpretation, and provider data accuracy

🎯 Requirements

• 5+ years of experience negotiating contracts with ancillary providers, facilities, and physician groups • Experience developing contract language, analyzing rate proposals, and identifying operational and financial improvement opportunities • Ability to use competitive market data, financial metrics, and detailed analysis to secure favorable contract outcomes • 3+ years of experience in provider relationship management or related healthcare roles • Proven contract management expertise • Knowledge of provider reimbursement methodologies, contract structures, and industry-standard payment policies and practices • Understanding of provider financial drivers, regulatory requirements, and competitive market dynamics • Advanced proficiency in Microsoft Office, including Excel, Word, and Outlook • Ability to build and maintain collaborative provider relationships and resolve complex contract issues cross-functionally • Strong organization and prioritization skills; ability to manage multiple negotiations and competing priorities while meeting deadlines • Must reside in the state of Indiana • Experience with Commercial and Medicare lines of business preferred • Bachelor's degree preferred or a combination of professional work experience and education

🏖️ Benefits

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