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Contract Negotiation Manager
CVS Health. Negotiate, execute, review, and analyze contracts and handle dispute resolution and settlement negotiations with solo, small group, or local providers, including SCAs, LOAs, and PPAs .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in contract management, provider relationship management, and healthcare industry regulations, with a focus on optimizing network performance and achieving financial goals. Strong analytical and negotiation skills are essential for effective dispute resolution and cost management.
Highest-signal resume keywords
Contract ManagementProvider Relationship ManagementHealthcare Industry KnowledgeNegotiation SkillsRegulatory Compliance
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 AnalysisDispute ResolutionCost ManagementNetwork DevelopmentStrategic Network Configuration
Soft Skills
Communication SkillsCritical ThinkingProblem ResolutionInterpersonal Skills
Tools & Technologies
Microsoft Office SuiteExcelWordPowerPointOutlook
Industry Keywords
HealthcareProvider CompensationFinancial ArrangementsNCQA StandardsContractual Requirements
About the role
Key responsibilities & impact- Negotiate, execute, review, and analyze contracts and handle dispute resolution and settlement negotiations with solo, small group, or local providers, including SCAs, LOAs, and PPAs
- Manage contract performance in support of network quality, availability, and financial goals and strategies
- Recruit providers to achieve network expansion and adequacy targets
- Collaborate cross-functionally on provider compensation and pricing development, contractual information submission, and negotiation and reimbursement modeling reports
- Identify and recommend actions to manage cost issues and support cost-saving initiatives and settlement activities
- Provide network development, maintenance, and refinement activities and strategies for cross-market network management
- Assist with strategic network configuration design, development, management, implementation, 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
- Interpret contractual requirements, including federal and state regulations and NCQA standards
Requirements
What you’ll need- 5+ years of working knowledge of the healthcare industry, including competitor strategies, complex contracting options, financial and contracting arrangements, and regulatory requirements
- 3+ years of experience in provider relationship management or related healthcare roles
- Proven and proficient contract management skills
- Strong communication, critical thinking, problem-resolution and interpersonal skills
- Proficiency in Microsoft Office Suite, including Excel, Word, PowerPoint, and Outlook
- Candidates residing on the West Coast are strongly preferred
- Bachelor's degree preferred or a combination of professional 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 in addition to base pay