Senior Manager, National Network Management – National Health Systems

CVS Health Careers

. Negotiate and execute contracts with larger and more complex national or regional health systems, hospitals, physician groups and ancillaries .

Posted 11/11/2026full-timeRemote • United StatesSenior💰 $67,900 - $182,549 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in negotiating complex contracts within the healthcare industry, focusing on value-based contracting and strategic provider network management. Proven ability to analyze contractual requirements and resolve disputes while maintaining strong relationships with providers and stakeholders.

Highest-signal resume keywords

Expert-Level Negotiation ExperienceHealthcare Industry ExperienceValue-Based Contracting KnowledgeContractual Requirement InterpretationCritical Thinking and Problem Resolution

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Contract NegotiationContract Review and AnalysisCost ManagementProvider Compensation DevelopmentReimbursement ModelingStrategic PlanningContract Performance ManagementDispute ResolutionFinancial Contracting ArrangementsRegulatory Requirement Knowledge

Soft Skills

Strong Communication SkillsInterpersonal SkillsCritical ThinkingProblem Resolution

Tools & Technologies

Internal Aetna System Knowledge

Industry Keywords

HealthcarePayerProviderNCQACost-Saving InitiativesProvider NetworksContractual RelationshipsClaims PaymentProvider Financial IssuesComplex Contracting Options

About the role

Key responsibilities & impact

Negotiate and execute contracts with larger and more complex national or regional health systems, hospitals, physician groups and ancillaries
Conduct high-level contract review and analysis
Participate in dispute resolution and settlement negotiations
Design conceptual models and plan initiatives
Manage contract performance and support development and implementation of strategic provider networks
Support accessibility, quality, financial goals, cost initiatives and value-based contract relationships
Identify and manage cost issues and initiate cross-functional cost-saving or settlement activities
Collaborate cross-functionally on provider compensation, pricing development, contractual information and reimbursement modeling
Represent the company with high-visibility constituents, customers and community groups
Facilitate JOC meetings
Manage complex contractual provider relationships according to national and regional network strategies
Serve as subject matter expert for less experienced team members and internal partners
Resolve escalated issues involving claims payment, contract interpretation, contract parameters and provider information accuracy
Evaluate, formulate and implement national network strategic plans to achieve contracting targets and manage medical costs
Interpret contractual requirements, including federal and state regulations and NCQA

Requirements

What you’ll need

Minimum of 7 years of related experience
Minimum of 5 years of successful expert-level negotiation experience with large or complex health systems
Comprehensive negotiating skills with a successful track record negotiating contracts with individual or complex provider systems or groups
Critical thinking to maintain cost management and a fully engaged network of participating hospitals, ancillaries and providers
Healthcare industry experience with either a payer or provider
Strong communication, critical thinking, problem resolution and interpersonal skills
Working knowledge of value-based contracting
Internal Aetna system knowledge
Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements
Bachelor's degree preferred or a combination of equivalent work experience and education

Benefits

Comp & perks

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being
CVS Health bonus, commission or short-term incentive program
Company equity award program