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Contract Negotiation Manager
CVS Health. Negotiate, execute, review, and analyze contracts and handle dispute resolution and settlement negotiations with providers .
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 cost-saving initiatives. Strong communication and problem-resolution skills are essential for effective collaboration and dispute resolution.
Highest-signal resume keywords
Contract ManagementProvider Relationship ManagementHealthcare Industry KnowledgeRegulatory ComplianceCost-Saving Initiatives
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 NegotiationContract AnalysisDispute ResolutionFinancial ArrangementsProvider CompensationReimbursement ModelingNetwork DevelopmentStrategic Network ConfigurationContract InterpretationCost Issues Identification
Soft Skills
CommunicationCritical ThinkingProblem ResolutionInterpersonal Skills
Tools & Technologies
Microsoft Office SuiteExcelWordPowerPointOutlook
Industry Keywords
HealthcareProvider RecruitmentNetwork QualityNCQAFederal RegulationsState Regulations
About the role
Key responsibilities & impact- Negotiate, execute, review, and analyze contracts and handle dispute resolution and settlement negotiations with providers
- Manage contract performance in support of network quality, availability, and financial goals
- Recruit providers to achieve network expansion and adequacy targets
- Collaborate on provider compensation, pricing development, contractual information, negotiation, and reimbursement modeling activities
- Identify cost issues and recommend cost-saving initiatives and settlement activities
- Provide network development, maintenance, and refinement strategies for cross-market network management
- Assist with strategic network configuration, integration, and implementation activities
- Optimize interactions with assigned providers and internal business partners
- Resolve escalated issues involving claims payment, contract interpretation, and provider contract or demographic information
- Interpret contractual requirements, including federal and state regulations and NCQA
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 (Excel, Word, PowerPoint, Outlook)
- Bachelor's degree preferred or a combination of professional work experience and education
- Candidates residing on the West Coast are strongly preferred
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