Contract Negotiation Manager, Healthcare-Remote TN

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary
Negotiates, reviews, executes and analyze provider contracts. Handles dispute resolution and settlement negotiations for various provider types in accordance with company standards. Leads assigned contract projects of a complex nature; ensures completion of projects and goals within identified service levels and timeframes. Implements process improvement solutions that enhance accountability and promote effective risk management.

What you will do

·         Establishes and implements programs and innovative initiatives for the organization to advance Contract Negotiations initiatives.

·         Recruits’ providers in support of network expansion and adequacy targets.

·         Determines recommendations to manage cost issues and support cost-saving initiatives and settlement activities.

·         Assists in the management of network development, maintenance, and refinement activities and strategies in support of cross-market network management units.

·         Coaches more junior colleagues in techniques, processes, and responsibilities.

Required Qualifications

 ·     Candidates residing in TN, Central or Eastern Region

 ·     Minimum 3+ years of strong healthcare facility/provider contract negotiation

·      Project Management experience

Preferred Qualifications
·     Previous experience in healthcare industry, preferable health insurance.

Education

· Bachelor's degree preferred/specialized training/relevant professional qualification.

Pay Range

The typical pay range for this role is:

$54,300.00 - $119,300.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.  
 
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 02/29/2024

CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. 

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

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