Contract Negotiator

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary

• Responsible for helping to create and maintain a Network Database to track key financial contracting provisions such as Charge Master (CDM) increases, Fiscal Intermediary (FI) updates, etc... and helping network stay on top of requesting and processing this information annually.
• Responsible for auditing, building, and loading contract updates, agreements, amendments, and/or fee schedules in contract management systems per Aetna established policies.

• Track, submit and update the Charge Master and Fiscal Intermediary (FI )updates in Strategic Contract Manager (SCM) for Rural Health Centers (RHC) and Critical Access Hospitals (CAH)
• Help with SCM updates for demographic or provider tab updates only
• Help with simple correction updates in SCM
• Assist with Late Load policy provisions as needed

• 3+ years of experience working with ancillary providers, facilities, physician groups, and IPAs, including contract language, development and analysis of rate proposals, identifying operational and financial improvement opportunities, and collection and analysis of competitive data and key financial metrics.
• Understanding of common contract provisions, provider reimbursement methodologies and terms, and industry standard payment policies and practices.
• Demonstrates high proficiency with Microsoft Office suite applications (e.g., Outlook, Word, Excel, etc.)
• Detail-oriented with strong communication, analytical and negotiation skills.
• Able to manage expectations and maintain strong relationships, both internally and externally.
• Ability to build collaborative relationships with providers and work cross-functionally to resolve complex provider contract issues.
• Highly organized and able to successfully manage and prioritize multiple projects, issues, and other tasks to ensure completion and meet deadlines.

• Healthcare Industry experience with either a payer or provider
• Strong communication, critical thinking, problem resolution and interpersonal skills.
• Internal Aetna system knowledge a plus.

• Strong problem resolution and decision-making skills.

• Bachelor's Degree or equivalent combination of education and professional work experience.

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.