Job Overview
Employment Type
Full-time
Compensation
Salary
Range $66,330.00 - $145,860.00
Work Schedule
Standard Hours
Benefits
Medical insurance
Dental Insurance
Vision Insurance
Paid Time Off
retirement savings options
wellness programs
Employee Assistance Programs
Job Description
CVS Health is a leading healthcare company committed to building a world of health around every individual. With a focus on creating a more connected, convenient, and compassionate health experience, CVS Health serves millions of customers, patients, members, and communities across the United States. The company is known for its dedication to innovation, accountability, safety, and quality in healthcare delivery. At CVS Health, employees are part of a vibrant community of passionate colleagues who prioritize improving health outcomes and simplifying healthcare for people and families nationwide.
This role is a full-time, individual contributor position based in Illinois, with a competitive salary range of $66,330 to $145,860 annually, also eligible for bonuses, commissions, or short-term incentive programs. The position of Contract Negotiation Manager is crucial in shaping and strengthening the provider network at CVS Health. The successful candidate will lead contract negotiations with ancillary providers, physician groups, and smaller or local systems, focusing on delivering value-based contracting strategies that align with CVS Health’s business goals.
The Contract Negotiation Manager will manage provider relationships, oversee contract performance, and identify strategic opportunities that enhance access, quality, compliance, and cost efficiency. Collaborating cross-functionally, this role supports provider compensation strategies, pricing development, and reimbursement modeling while analyzing financial and operational data to pinpoint cost-saving measures. The position also involves recruiting and onboarding providers to meet network expansion and adequacy targets, ensuring delivery of competitive, sustainable cost arrangements.
Representing CVS Health, the Contract Negotiation Manager will strengthen partnerships with providers, customers, and community stakeholders, playing a vital role in the evaluation and contribution to provider network strategy. This includes ensuring alignment with state requirements, product needs, and cost management objectives. The manager also optimizes provider engagement and manages complex escalations related to claims, contract interpretation, and provider data accuracy.
The role demands strong negotiation skills, comprehensive knowledge of provider reimbursement methodologies, contract structures, and industry-standard payment policies, along with proficient financial and operational data analysis capabilities. With 5+ years of relevant experience, the ideal candidate will be highly organized, capable of managing multiple priorities simultaneously, and possess the ability to build collaborative relationships with diverse stakeholders.
CVS Health offers a comprehensive benefits package that supports the physical, emotional, and financial well-being of its employees and their families. Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and additional employee resources. The company fosters a workplace culture where every colleague feels valued and empowered to be part of something bigger – helping to simplify healthcare one person, one family, and one community at a time.
This role is a full-time, individual contributor position based in Illinois, with a competitive salary range of $66,330 to $145,860 annually, also eligible for bonuses, commissions, or short-term incentive programs. The position of Contract Negotiation Manager is crucial in shaping and strengthening the provider network at CVS Health. The successful candidate will lead contract negotiations with ancillary providers, physician groups, and smaller or local systems, focusing on delivering value-based contracting strategies that align with CVS Health’s business goals.
The Contract Negotiation Manager will manage provider relationships, oversee contract performance, and identify strategic opportunities that enhance access, quality, compliance, and cost efficiency. Collaborating cross-functionally, this role supports provider compensation strategies, pricing development, and reimbursement modeling while analyzing financial and operational data to pinpoint cost-saving measures. The position also involves recruiting and onboarding providers to meet network expansion and adequacy targets, ensuring delivery of competitive, sustainable cost arrangements.
Representing CVS Health, the Contract Negotiation Manager will strengthen partnerships with providers, customers, and community stakeholders, playing a vital role in the evaluation and contribution to provider network strategy. This includes ensuring alignment with state requirements, product needs, and cost management objectives. The manager also optimizes provider engagement and manages complex escalations related to claims, contract interpretation, and provider data accuracy.
The role demands strong negotiation skills, comprehensive knowledge of provider reimbursement methodologies, contract structures, and industry-standard payment policies, along with proficient financial and operational data analysis capabilities. With 5+ years of relevant experience, the ideal candidate will be highly organized, capable of managing multiple priorities simultaneously, and possess the ability to build collaborative relationships with diverse stakeholders.
CVS Health offers a comprehensive benefits package that supports the physical, emotional, and financial well-being of its employees and their families. Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and additional employee resources. The company fosters a workplace culture where every colleague feels valued and empowered to be part of something bigger – helping to simplify healthcare one person, one family, and one community at a time.
Job Requirements
- 5+ years of experience negotiating contracts with ancillary providers, facilities, and physician groups
- 3+ years of experience in provider relationship management or related healthcare roles
- Strong knowledge of provider reimbursement methodologies, contract structures, and payment policies
- Solid understanding of provider financial drivers, regulatory requirements, and market dynamics
- Advanced proficiency in Microsoft Office applications
- Proven ability to build and maintain collaborative relationships with providers
- Highly organized with ability to manage multiple negotiations and priorities
- Must reside in the state of Illinois
Job Qualifications
- 5+ years of experience negotiating contracts with ancillary providers, facilities, and physician groups including contract language development and rate proposal analysis
- 3+ years of experience in provider relationship management or related healthcare roles
- Strong knowledge of provider reimbursement methodologies, contract structures, and payment policies
- Solid understanding of provider financial drivers, regulatory requirements, and competitive market dynamics
- Advanced proficiency in Microsoft Office applications including Excel, Word, and Outlook
- Proven ability to build and maintain collaborative relationships with providers
- Highly organized with strong prioritization skills
- Experience with Commercial and Medicare lines of business preferred
- Bachelor’s degree preferred or a combination of professional work experience and education
Job Duties
- Lead end-to-end contract negotiations, execution, and analysis with a focus on ancillary providers, physician groups, and smaller/local systems
- Manage contract performance and drive the development and implementation of value-based arrangements aligned with organizational strategy
- Identify, recruit, and onboard providers to meet network expansion and adequacy targets
- Partner cross-functionally to support provider compensation strategy, pricing development, and reimbursement modeling
- Analyze financial and operational data to identify cost-saving opportunities and execute initiatives
- Serve as a key representative of the organization with providers, customers, and community stakeholders
- Evaluate and contribute to provider network strategy ensuring alignment with state requirements, product needs, and cost management objectives
- Optimize provider engagement and resolve complex escalations related to claims, contract interpretation, and provider data accuracy
Job Criteria
Experience
Mid Level (3-7 years)
Job Location
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