Contract Negotiation Manager

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $54.3k - $119.3k / 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

• Manage contract performance and drive the development and implementation of contract relationships supporting business strategies • Recruit providers to achieve network expansion and adequacy targets • Manage cost arrangements within defined groups • Collaborate cross-functionally on provider compensation and pricing development, contractual information submission, and report review and analysis • Identify and manage cost issues and execute significant cost-saving initiatives • Represent the company with providers, groups and health systems • Promote collaboration with internal partners • Evaluate, formulate and implement provider network strategic plans • Manage medical costs through effective provider contracting to meet state contract and product requirements • Assess the effectiveness of tactical cost-management plans • Optimize interactions with assigned providers and internal business partners • Resolve escalated issues involving claims payment, contract interpretation and parameters, and provider contract or demographic information accuracy

🎯 Requirements

• 5+ years of experience in provider relations, contracting or a managed care environment • Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills • Proven ability to influence and collaborate with providers and partners at all levels • Strong knowledge and experience in problem-solving techniques • Highly organized with strong 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 is preferred • Bachelor's degree or equivalent professional work 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 in addition to base pay