Behavioral Health Contract Negotiation Manager

This is a fully remote position, open to applicants in Colorado, +11 more states.

📋 Description

• Negotiate competitive agreements with behavioral healthcare providers in accordance with internal protocols and financial criteria.

• Prepare and evaluate contract language, working alongside cross-functional teams on non-standard provisions.

• Perform financial and competitive assessments to secure top-market discounts and achieve financial objectives.

• Oversee contract performance and collaborate with internal departments to address issues related to contract execution, loading, and maintenance.

• Assist in the implementation of value-based contracts that align with business goals.

• Develop and nurture relationships with key providers and address escalated claims, contract interpretation, and provider data accuracy challenges.

• Negotiate settlements and recruit providers as necessary to ensure network adequacy and support expansion initiatives.

• Hold responsibility for specific medical cost initiatives.

⛳️ Requirements

• Over 5 years of experience in provider contracting and relationship management, including contract language, rate proposals, and financial analysis.

• High proficiency in Microsoft Office Suite, particularly Excel, Word, and PowerPoint.

• Proven ability to leverage competitive and financial data to negotiate advantageous contracts.

• Experience in Behavioral Health Contracting, Provider Network Management, or Behavioral Health Operations.

• Excellent critical thinking, problem-solving, organizational, communication, and interpersonal skills.

• Capability to manage multiple negotiations and tasks concurrently, meet deadlines, and maintain robust external and internal relationships.

• Strong preference for candidates living in Central Region states, including Illinois, Colorado, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, or Wisconsin.

• Bachelor’s degree or an equivalent combination of education and professional experience.

🏝️ Benefits

• Medical coverage

• Dental coverage

• Vision coverage

• Paid time off

• Retirement savings options

• Wellness programs

• Additional resources to support physical, emotional, and financial health

• CVS Health bonus, commission, or short-term incentive program