Senior Manager, Network Contracting Manager
Core
Senior Manager responsible for negotiating, executing, and analyzing complex contracts with hospitals, physician groups, and facilities to build and manage provider networks for CVS Health/Aetna.
Role type
Senior Manager, Network Contracting
Builds
Provider networks supporting commercial and individual exchange plans
Domain
Healthcare / Health Insurance
Required skills
Contract negotiation, provider relationship management, financial analysis, reimbursement modeling, network strategy, dispute resolution, regulatory compliance
Preferred skills
Commercial/Exchange/Medicare experience, hospital system contracting, Advanced Excel
Technologies
Excel (pivot tables, v-lookup)
Responsibilities
Lead end-to-end contract negotiations and execution; manage contract performance and value-based arrangements; recruit and onboard providers to meet network targets; partner on compensation strategy and pricing; analyze financial data for cost savings; resolve complex escalations and claims issues.
Seniority
Senior Manager, hands-on IC