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Senior Manager, Network Contracting
CVS Health. Negotiate, execute, conduct high-level review and analysis, and resolve disputes or conduct settlement negotiations for contracts .
Posted 9/21/2026full-timeRemote • Illinois • United StatesSenior💰 $82,940 - $182,549 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in contract negotiation and management, with a focus on provider relationship management and financial analysis. Proven ability to develop and implement value-based agreements while optimizing provider engagement and performance.
Highest-signal resume keywords
Contract NegotiationProvider Relationship ManagementFinancial AnalysisContract Management ExpertiseAdvanced Excel
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 Language DevelopmentRate Proposal AnalysisOperational ImprovementFinancial ImprovementValue-Based AgreementsCost-Saving AnalysisProvider Network StrategyContract Performance ManagementClaims ResolutionRegulatory Requirements
Soft Skills
Strong CommunicationCritical ThinkingProblem ResolutionInterpersonal Skills
Tools & Technologies
ExcelPivot TablesV-Lookup
Industry Keywords
HealthcareProvider GroupsFee-For-ServiceValue-Based CareCommercial InsuranceMedicareNetwork ExpansionCost ManagementMarket Data AnalysisProvider Engagement
About the role
Key responsibilities & impact- Negotiate, execute, conduct high-level review and analysis, and resolve disputes or conduct settlement negotiations for contracts
- Manage larger and more complex market, regional, and national provider groups and systems
- Contract and implement fee-for-service and value-based agreements with physician groups, facilities, and ancillary providers
- Collaborate with Aetna and CVS departments to improve physician performance and quality of care
- Recruit providers to achieve network expansion and adequacy targets
- Manage cost arrangements within defined provider groups
- Partner cross-functionally on provider compensation, pricing development, contractual information submission, and reimbursement modeling
- Lead end-to-end contract negotiations, execution, and analysis
- Manage contract performance and develop and implement value-based arrangements
- Identify, recruit, and onboard providers
- Analyze financial and operational data to identify cost-saving opportunities and execute impact-driving initiatives
- Represent the organization with providers, customers, and community stakeholders
- Evaluate and contribute to provider network strategy aligned with state requirements, product needs, and cost management objectives
- Optimize provider engagement and resolve complex escalations involving claims, contract interpretation, and provider data accuracy
Requirements
What you’ll need- 7+ years of experience negotiating contracts with hospitals, facilities, and physician groups
- Experience with contract language development, rate proposal analysis, and identifying operational and financial improvement opportunities
- Ability to leverage competitive market data, financial metrics, and detailed analysis to secure favorable contract outcomes
- 3+ years of experience in provider relationship management or related healthcare roles
- Proven contract management expertise
- Working knowledge of provider financial issues and competitor strategies
- Knowledge of large/complex contracting options, financial/contracting arrangements, and regulatory requirements
- Strong communication, critical thinking, problem resolution and interpersonal skills
- Candidates must reside in the state of Illinois
- 10% travel required
- Advanced Excel experience, including pivot tables and v-lookup function
- Commercial, individual exchange and Medicare experience preferred
- Experience contracting with hospital systems and groups 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
- Comprehensive benefits package supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program
- Award target in the company’s equity award program