Contract Negotiation Manager

This is a fully remote position, open to applicants in United States.

📋 Description

• Oversee the complete process of contract negotiations, execution, and analysis with ancillary providers, physician groups, and smaller/local systems.

• Manage contract performance and create as well as implement value-based arrangements that align with the organizational strategy.

• Identify, recruit, and onboard providers to achieve network expansion and adequacy objectives.

• Provide competitive and sustainable cost arrangements.

• Collaborate cross-functionally on strategies for provider compensation, pricing development, and reimbursement modeling.

• Analyze financial and operational data to uncover cost-saving opportunities and implement initiatives with measurable impact.

• Serve as the representative of the organization with providers, customers, and community stakeholders.

• Assess and contribute to the provider network strategy in accordance with state regulations, product requirements, and cost management goals.

• Enhance provider engagement and resolve intricate escalations related to claims, contract interpretation, and the accuracy of provider data.

⛳️ Requirements

• A minimum of 5 years’ experience in negotiating contracts with ancillary providers, facilities, and physician groups.

• Experience in developing contract language, analyzing rate proposals, and recognizing operational and financial improvement opportunities.

• Proficiency in utilizing competitive market data, financial metrics, and detailed analysis to achieve favorable contract outcomes.

• At least 3 years of experience in provider relationship management or similar healthcare roles.

• Demonstrated expertise in contract management.

• Familiarity with provider reimbursement methodologies, contract structures, and industry-standard payment policies and practices.

• Understanding of provider financial drivers, regulatory requirements, and competitive market dynamics.

• Advanced skills in Microsoft Office, including Excel, Word, and Outlook.

• Capability to build and sustain collaborative relationships with providers and resolve complex contract issues across functions.

• Strong organizational and prioritization skills; ability to handle multiple negotiations and competing priorities while adhering to deadlines.

• Must be a resident of the state of Indiana.

• Experience with Commercial and Medicare lines of business is preferred.

• A Bachelor's degree is preferred or a combination of professional work experience and education.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program in addition to base salary.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.

• Comprehensive benefits package available for colleagues and their families.