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Contract Negotiation Manager
CVS Health Careers. Negotiate, execute, review, and analyze contracts with solo, small-group, or local providers .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in contract negotiation, provider relationship management, and financial analysis within the healthcare sector. Proficient in managing provider contracts and optimizing network performance to achieve organizational goals.
Highest-signal resume keywords
Contract NegotiationProvider Relationship ManagementContract Management SkillsFinancial AnalysisMicrosoft Office Suite Proficiency
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract Language DevelopmentRate Proposal AnalysisProvider Reimbursement MethodologiesOperational Improvement IdentificationFinancial Metrics Analysis
Soft Skills
Collaborative Relationship BuildingCross-Functional CommunicationIssue Resolution
Industry Keywords
HealthcareProvider Financial IssuesRegulatory RequirementsCommercial Lines of BusinessMedicare Lines of Business
About the role
Key responsibilities & impact- Negotiate, execute, review, and analyze contracts with solo, small-group, or local providers
- Handle provider dispute resolution and settlement negotiations
- Manage contract performance in support of network quality, availability, financial goals, and strategies
- Recruit providers to support network expansion and adequacy targets
- Collaborate on provider compensation, pricing development, contractual information, negotiation, and reimbursement modeling activities
- Identify and recommend solutions for cost issues and support cost-saving initiatives and settlement activities
- Perform network development, maintenance, and refinement activities
- Assist with strategic network configuration and integration activities
- Optimize interactions with assigned providers and internal business partners
- Resolve escalated issues involving claims payment, contract interpretation, contract parameters, and provider contract or demographic information
Requirements
What you’ll need- A minimum of 5 years of experience negotiating contracts with ancillary providers, facilities, and physician groups
- Experience with contract language, development and analysis of rate proposals, identifying operational and financial improvement opportunities, and collection and analysis of competitive data and key financial metrics
- 3+ years of experience in provider relationship management or related healthcare roles
- Proficient contract management skills
- Understanding of common contract provisions, provider reimbursement methodologies and terms, and industry standard payment policies and practices
- Understanding of provider financial issues, regulatory requirements, and competitor strategies
- High proficiency with Microsoft Office suite applications, including Outlook, Word, and Excel
- Ability to build collaborative relationships with providers and work cross-functionally to resolve complex provider contract issues
- Ability to manage and prioritize multiple negotiations, issues, and tasks to meet deadlines
- Experience with Commercial and Medicare lines of business preferred
- Bachelor's degree preferred or a combination of professional work experience and education
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program in addition to base pay
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being, based on eligibility