Manager, Contract Negotiator

Job not on LinkedIn

🕒 August 4

🏢🏡 New York City – Hybrid

💵 $66.3k - $159.1k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👔 Manager

👻 Ghost score 1%

What it means: how likely this posting is sitting open without active hiring.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

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, execute, renew, and maintain provider agreements with hospitals, physician groups, ancillary providers, and other healthcare organizations • Develop and implement contracting strategies supporting affordability, network adequacy, access, quality, and growth objectives • Analyze provider reimbursement proposals, financial models, utilization trends, and contract performance data • Manage contract amendments, reimbursement updates, fee schedule changes, and contract renewals • Build relationships with provider executives and key decision makers • Collaborate with Provider Relations, Network Strategy, Finance, Actuarial, Legal, Compliance, Clinical, and Operations teams • Identify cost savings, network optimization, and provider performance improvement opportunities • Support value-based care arrangements and alternative payment models • Resolve provider disputes and contract-related issues • Ensure compliance with regulatory requirements, corporate policies, and contracting standards • Support provider recruitment, network expansion, and network adequacy initiatives • Prepare negotiation strategies, executive summaries, business cases, and leadership presentations • Coach and mentor less experienced network contracting colleagues • Travel periodically within Metro New York to meet provider organizations and attend business meetings • Engage provider leadership and internal stakeholders in virtual and in-person environments

🎯 Requirements

• Minimum of 3 years of healthcare provider contracting, network management, provider relations, reimbursement, health plan operations, healthcare consulting, or related experience • Strong analytical skills evaluating financial models, reimbursement structures, utilization patterns, and provider performance data • Working knowledge of fee-for-service, value-based care, capitation, and risk-based reimbursement arrangements • Experience partnering across highly matrixed organizations and influencing stakeholders without direct authority • Strong problem-solving, decision-making, and negotiation skills • Excellent verbal, written, and presentation communication skills • Ability to manage multiple priorities and deliver results in a fast-paced environment • Proficiency in Microsoft Excel, PowerPoint, and other analytical tools • Bachelor's degree or equivalent combination of education and relevant professional experience • Ability to sit within a commutable distance to the NYC office • Periodic travel within Metro New York required • Preferred: experience negotiating with hospitals, integrated delivery systems, academic medical centers, or large physician organizations • Preferred: knowledge of Commercial, Medicare, Medicaid, and ACA products • Preferred: experience with value-based care, alternative payment models, risk-based contracting, network adequacy, healthcare claims analysis, reimbursement modeling, provider performance reporting, and Aetna network management systems

🏖️ 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