Senior Manager, Contract Negotiation Manager
CVS Health
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This position supports Provider Contracting and Relationship Management for the Commercial and Medicare Segments with large and small health systems. Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals and cost incentives Manages contract performance in support of network quality, availability, and financial goals and strategies Recruit providers as needed to ensure attainment of network expansion and adequacy targets Collaborates cross -functionally to contribute to provider compensation and pricing development activities, recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities Integrates cross-functional collaboration to contribute to provider compensation and pricing development activities and recommendations for negotiations and reimbursement modeling activities. Identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities Provides ancillary network development, maintenance, and refinement activities and strategies in support of cross-market network management unit Assists with the design, development, management, and/or implementation of strategic network configurations, including integration activities Opti...
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