Contract Negotiation Manager

CVS Health

. Negotiate, execute, review, and analyze contracts with solo, small-group, local, and other provider partners .

Posted 10/9/2026full-timeRemote • United StatesMid-LevelSenior💰 $54,300 - $119,340 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in contract negotiation, provider relationship management, and strategic network development within the healthcare sector. Proficient in analyzing contract language and financial metrics to optimize provider interactions and support organizational goals.

Highest-signal resume keywords

Contract NegotiationProvider Relationship ManagementContract Management SkillsProvider Reimbursement MethodologiesMicrosoft Office Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract Language AnalysisRate Proposal DevelopmentOperational ImprovementFinancial Improvement OpportunitiesProvider Financial Issues UnderstandingRegulatory Requirements KnowledgeCompetitive Data AnalysisContractual Information ReviewCost Management StrategiesSettlement Negotiations

Soft Skills

Collaborative Relationship BuildingCross-Functional CollaborationIssue ResolutionTask PrioritizationDeadline Management

Tools & Technologies

Aetna SystemsSmart Front EndASDHRPMedCompassRUMBAMicrosoft OutlookMicrosoft WordMicrosoft Excel

Industry Keywords

HealthcareProvider ContractsCommercial Lines of BusinessMedicareNetwork Management

About the role

Key responsibilities & impact

Negotiate, execute, review, and analyze contracts with solo, small-group, local, and other provider partners
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 cross-functionally on provider compensation and pricing development, contractual information, reimbursement modeling, and report analysis
Identify and recommend ways to manage cost issues and support cost-saving initiatives and settlement activities
Provide network development, maintenance, and refinement strategies for cross-market network management
Assist with designing, developing, managing, and implementing strategic network configurations and integration activities
Optimize interactions with assigned providers and internal business partners to manage relationships and meet provider needs
Resolve escalated issues involving claims payment, contract interpretation and parameters, and provider contract or demographic information accuracy

Requirements

What you’ll need

Minimum 5 years of experience negotiating contracts with ancillary providers, facilities, and physician groups
Experience with contract language, development and analysis of rate proposals, operational and financial improvement opportunities, 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
Working knowledge of Aetna systems and tools, including Smart Front End, ASD, HRP, MedCompass, and RUMBA applications, or comparable applications preferred
Candidates located in Pennsylvania, Ohio, Connecticut, Delaware, North Carolina, South Carolina, Florida, Georgia, and Texas are 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