Contract Negotiation Manager - PA, OH, WV, and Delaware
Core
Negotiates, executes, and analyzes contracts with smaller healthcare providers (solo, small groups, local systems) to maintain and enhance provider networks while meeting financial and quality goals.
Role type
Individual contributor contract negotiation manager
Builds
Provider networks and contractual agreements for CVS Health
Domain
Healthcare / Contract Management
Required skills
Contract negotiation, dispute resolution, rate proposal analysis, competitive data analysis, financial metrics analysis, provider relationship management, cross-functional collaboration, Microsoft Office proficiency
Preferred skills
Fee for Service and Value based contracting experience, Commercial and Medicare lines of business experience
Technologies
Microsoft Office (Outlook, Word, Excel)
Responsibilities
Negotiate and execute contracts with solo, small group, or local providers; Manage contract performance to support network quality and financial goals; Recruit providers to meet network expansion targets; Collaborate on provider compensation and pricing development; Identify and manage cost issues and support cost-saving initiatives; Resolve escalated issues regarding claims payment and contract interpretation.
Seniority
Mid-Senior level, hands-on IC