Senior Provider Network Contracting Manager

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🔥 0 minutes ago

🌽 Illinois, Missouri – Remote

🌽 Illinois – Remote 🏰 Missouri – Remote

💵 $67.9k - $182.5k / year

⏰ Full Time

🟠 Senior

👔 Manager

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

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

• negotiates, executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of contracts. • Works with larger and more complex, market/regional/national based groups/systems. • Maintain and enhance provider networks. • Responsible for contracting and implementing fee for service and value-based agreements. • Collaborates cross-functionally to manage provider compensation and pricing development activities.

🎯 Requirements

• Minimum 7 years related experience and comprehensive level of negotiating with individual or complex provider systems or groups. • Proven working knowledge of provider financial issues and competitor strategies. • Strong communication, critical thinking, problem resolution and interpersonal skills. • Commercial, individual exchange and Medicare experience preferred. • Experience contracting with hospital systems and groups preferred. • Advanced Excel experience including pivot tables and v-lookup function preferred. • Bachelor’s Degree preferred or equivalent combination of education and professional work experience.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility