Senior Manager, Provider Contract Negotiations

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 The Senior Manager will manage the development of contracts and agreements with providers and delivery systems in conjunction with being accountable for designing conceptual models, initiative planning, and negotiating high value contracts with providers/facilities in accordance with company standards in order to maintain and enhance provider networks, while working cross functionally to ensure consistency with all contracting strategies and meeting and exceeding accessibility, quality, compliance, and financial goals and cost initiatives. Responsibilities include: Negotiation and Execution: Conduct high-level review and analysis of dispute resolution and settlement negotiations of contracts with larger and more complex market/regional/national-based group/system providers. This includes but is not limited to large PCP groups, pediatricians, advanced specialist groups, hospital-based providers, ancillary providers, ambulatory surgical centers, behavioral health providers, etc. Ensure contracts align with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality, financial goals, and cost initiatives. Provider Recruitment: Recruit providers as needed to achieve network expansion goals and meet regulatory and internal adequacy targets. Support health plan expansion initiatives and other contracting activities as required. Contract Management: Initiate, coordinate, and own the contracting activities to fulfillment, including receipt and processing of contracts and d...