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Senior Contract 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 negotiation, provider compensation strategies, and regulatory compliance within the healthcare industry, while effectively managing cross-functional relationships and driving operational outcomes.
Highest-signal resume keywords
Contract NegotiationHealthcare Industry KnowledgeProvider Contracting SystemsCross-Functional CollaborationData Analysis
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 ExecutionCost-Saving InitiativesReimbursement ModelingNetwork ManagementContract InterpretationRegulatory ComplianceFinancial AnalysisProvider RecruitmentStrategic Network ConfigurationContract Administration
Soft Skills
Communication SkillsCritical ThinkingProblem ResolutionInterpersonal SkillsInfluencing Skills
Tools & Technologies
Microsoft Office SuiteExcelWordPowerPointOutlook
Industry Keywords
HealthcareContracting ArrangementsNCQAProvider CompensationMarket Stakeholders
About the role
Key responsibilities & impact- Negotiate, execute, review, and analyze contracts and handle dispute resolution and settlement negotiations with providers
- Collaborate cross-functionally on provider compensation, pricing development, contractual information, negotiation, and reimbursement modeling
- Identify and manage cost issues and execute cost-saving initiatives
- Represent the company with customers and community groups
- Manage contract performance against network quality, availability, and financial goals
- Recruit providers to achieve network expansion and adequacy targets
- Contribute to provider compensation and pricing recommendations and analyze related reports
- Provide network development, maintenance, and refinement strategies for cross-market network management
- Assist with strategic network configuration design, development, management, and implementation, including integration activities
- Manage relationships 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- 7+ years of progressive experience leading complex initiatives and delivering measurable business outcomes
- 5+ years of working knowledge in the healthcare industry, including competitor strategies, complex contracting options, financial and contracting arrangements, and regulatory requirements
- Ability to manage multiple priorities while executing against timelines, budgets, and performance objectives
- Experience identifying issues, analyzing data, and making sound decisions to drive operational and financial results
- Experience influencing and partnering with cross-functional stakeholders
- Ability to influence across a highly matrixed organization and partner effectively with market stakeholders
- Knowledge of provider contracting systems and contract implementation processes, including contract loading, administration, and compliance oversight
- Strong communication, critical thinking, problem-resolution and interpersonal skills
- Proficiency in Microsoft Office Suite (e.g., Excel, Word, PowerPoint, Outlook) 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
- Equity award program