# Senior Manager **Company**: CVS Health **Experience**: senior **Job type**: full-time **Salary**: $67,900.00 - $182,549.00 **Category**: Healthcare **Industry**: Healthcare **Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/CA---Work-from-home/Senior-Manager--National-Network-Management--National-Health-Systems-_R1094062?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply **Canonical**: https://yubhub.co/job/senior-manager-4e94ff10-aa9/ ## Description We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience. In this individual contributor role, the Senior Manager will manage the negotiation and development of contracts with larger and more complex national or regional-based providers and health systems. The Senior Manager will maintain accountability for designing conceptual models, initiative planning, and negotiating high-value/risk contracts, as well as conducting high-level review and analysis, dispute resolution and/or settlement negotiations of contracts with these groups in accordance with company standards. Responsibilities: - Negotiates and executes contracts, conducts high-level review and analysis, participates in dispute resolution and/or settlement negotiations with larger and more complex health systems. - Identifies and manages cost issues and commences appropriate cross-functional cost-saving initiatives and/or settlement activities. - Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. - Represents the company with high-visibility constituents, including customers and community groups. - Promotes collaboration with internal partners. - Optimizes interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met. - Facilitates JOC meetings. - Manages complex, contractual relationships with providers according to prescribed guidelines in support of national and regional network strategies. - Manages contract performance and supports the development and implementation of value-based contract relationships in support of business strategies. - Maintains accountability for cost arrangements within defined groups. - Serves as SME for less experienced team members and internal partners. - Ensures resolution of escalated issues related to claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. - Evaluates, helps formulate, and implements national network strategic plans to achieve contracting targets and manage medical costs through effective contracting. - Interprets contractual requirements including federal and state regulations and NCQA. Required Qualifications: - A minimum of 7 years related experience and comprehensive level of negotiating skills with successful track record negotiating contracts with individual or complex provider systems or groups. - A minimum of 5 years of successful expert-level negotiation experience negotiating contracts with large or complex health systems. - Critical thinking to maintain cost management and a fully engaged network of participating hospitals, ancillaries and providers. - Healthcare industry experience with either a payer or provider. Preferred Qualifications: - Strong communication, critical thinking, problem resolution and interpersonal skills. - Working knowledge of value-based contracting. - Internal Aetna system knowledge. - Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements. Education: - Bachelors degree preferred or a combination of equivalent work experience and education. Pay Range: $67,900.00 - $182,549.00 Benefits: This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. For more fresh new jobs, check out [yubhub.co](https://yubhub.co/). ## Skills ### Required - negotiation - contract management - cost management - critical thinking - healthcare industry experience ### Nice to have - value-based contracting - internal Aetna system knowledge - provider financial issues - competitor strategies - complex contracting options --- Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/CA---Work-from-home/Senior-Manager--National-Network-Management--National-Health-Systems-_R1094062?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)