Contract Negotiator (Great Lakes Region)

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
Join Aetna/CVS Health as the Manager of Contract Negotiation. In this high impact, individual contributor role, you will negotiate, execute, review, and analyze physician and ancillary contracts in the Wisconsin and Minnesota Market. You will resolve escalated claims issues, support provider demographic data accuracy initiatives, explain reimbursement policies and assist in settlement negotiations with providers and ensures contract performance aligns with accessibility, compliance, quality, financial, and cost goals.

Additional Responsibilities:

• Establishes and implements programs and innovative initiatives for the organization to advance Contract Negotiations initiatives.
• Forecasts changes within the industry, conducts business impact assessments, and develops modification strategies with the aid of process improvement methodologies.
• Designs systems to recruit providers in support of network expansion and adequacy targets.
• Integrates cross-functional collaboration to contribute to provider compensation and pricing development activities and recommendations for negotiations and reimbursement modeling activities.
• Determines recommendations to manage cost issues and support cost-saving initiatives and settlement activities.
• Assists in the management of network development, maintenance, and refinement activities and strategies in support of cross-market network management units.

• The role supports Medicare and Commercial markets

• 3+ years' experience in provider contracting, provider relations or related experience
• Proficient in Office Suite, expertise in Excel and Word

• Reside in the Great Lakes region( Wisconsin, Illinois, Indiana, Michigan and Minnesota) with ability to work those states time zones.

• 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.