Manager, Contract Negotiations – Louisiana Medicaid

CVS Health

. Recruit, negotiate and execute physical and behavioral health provider contracts .

Posted 10/8/2026full-timeBaton Rouge • Louisiana • United StatesMid-LevelSenior💰 $54,300 - $119,340 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in negotiating managed care provider contracts and managing complex provider relationships while ensuring compliance with industry standards. Proficient in financial and contracting reimbursement methodologies, with strong communication and problem-solving skills.

Highest-signal resume keywords

Negotiating Managed Care Provider ContractsIn-Depth Knowledge of Managed Care IndustryFinancial/Contracting Reimbursement MethodologiesStrong Communication SkillsCritical Thinking and Problem Resolution

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract NegotiationProvider Relationship ManagementCost-Saving InitiativesClaims Payment ResolutionReimbursement ModelingStrategic Network ConfigurationData AnalysisContract InterpretationMarket AnalysisProvider Compensation Development

Soft Skills

Interpersonal SkillsCritical ThinkingProblem Resolution

Tools & Technologies

MS Office Suite

Industry Keywords

Managed CareProvider ContractsHealthcare NetworksAncillary ServicesContractual GuidelinesNetwork ExpansionBaton RougeLouisiana Residency

About the role

Key responsibilities & impact

Recruit, negotiate and execute physical and behavioral health provider contracts
Ensure attainment of Aetna Better Health of Louisiana network expansion and adequacy targets
Optimize interaction with assigned providers and internal business partners
Manage provider relationships and ensure provider needs are met
Identify and manage cost issues and initiate cost-saving initiatives and/or settlement activities
Assist with the design, development, management and implementation of strategic network configurations and integration activities
Resolve escalated issues related to claims payment, contract interpretation and parameters, and provider contract or demographic information
Manage complex contractual provider relationships according to prescribed guidelines
Collaborate cross-functionally on hospital, ancillary and provider compensation and pricing development activities
Submit contractual information and review and analyze reports for negotiation and reimbursement modeling activities

Requirements

What you’ll need

3-5 years of related experience with a successful track record negotiating managed care provider contracts with physician groups, hospitals, and/or ancillary services
In-depth knowledge of the managed care industry and practices
Strong understanding of strategies and financial/contracting reimbursement methodologies
Strong communication, critical thinking, problem resolution and interpersonal skills
Proficiency in MS Office Suite
Ability to travel in the assigned market up to 15% of the time as needed
Resident of Louisiana
Able to work in the Baton Rouge office at least 1-2 times per month
Bachelor’s degree or equivalent combination of education and experience

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