Provider Contract Negotiation Manager

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.About the Role:

Join Aetna's Network Management team as a Contract Negotiator and play a key role in building and maintaining a high-performing provider network. You'll leverage your negotiation skills and analytical expertise to secure competitive contracts, support value-based care initiatives, and drive positive outcomes for our members and partners.Key Responsibilities:

• Negotiate competitive contracts with healthcare providers, ensuring alignment with internal guidelines and financial standards.
• Draft and review contract language, collaborating with cross-functional teams for non-standard terms.
• Conduct financial and competitive analyses to achieve best-in-market discounts and meet financial targets.
• Manage contract performance and coordinate with internal departments to resolve issues related to contract execution, loading, and ongoing maintenance.
• Support the implementation of value-based contracts in line with business strategies.
• Build and maintain strong relationships with key providers, ensuring timely resolution of escalated issues such as claims, contract interpretation, and provider data accuracy.
• Negotiate settlements and recruit providers as needed to ensure network adequacy and support expansion goals.
• Maintain accountability for specific medical cost initiatives.

Required Qualifications:

• 3+ years of provider contracting and relationship experience, including contract language, rate proposals, and financial analysis.
• Proficiency in Microsoft Word, Excel, and Office Suite.
• Demonstrated ability to use competitive and financial data to negotiate favorable contracts.

Preferred Qualifications:

• Strong critical thinking, problem-solving, organizational, communication, and interpersonal skills.
• Ability to manage multiple negotiations and tasks simultaneously, meeting deadlines and maintaining strong relationships internally and externally.
• Experience with value-based contract negotiation or management is a plus.
• Location: Candidates residing in Texas are preferred, but not required.

Education:

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

Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$60,300.00 - $132,600.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 09/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Austin, TX

Job ID: CVS-R0678953

Employment Type: FULL_TIME

Posted: 2025-08-22T19:47:39