# Contract Manager

**Company**: CVS Health
**Experience**: senior
**Job type**: full-time
**Salary**: $60,300.00 - $132,600.00
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/AZ---Work-from-home/Contract-Negotiation-Manager_R1069484?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_af24389a-6a8

## Description

We're building a world of health around every individual , shaping a more connected, convenient and compassionate health experience.

The Contract Manager serves as the subject matter expert in support of contracting initiatives and data audits to enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals.

**Responsibilities**

- Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, or local providers, including SCAs, LOAs, and PPAs.

- Manages contract performance in support of network quality, availability, and financial goals and strategies.

- Recruits providers to ensure attainment of network expansion and adequacy targets.

- Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.

- Responsible for identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities.

- Provides 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.

- May optimize interaction with assigned providers and internal business partners to manage relationships and ensure provider needs are met.

- Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.

- Interprets contractual requirements including federal and state regulations and NCQA.

**Required Qualifications**

- 5+ years of working knowledge of the healthcare industry, including competitor strategies, complex contracting options, financial and contracting arrangements, and regulatory requirements.

- 3+ years of experience in provider relationship management or related healthcare roles, with proven and proficient contract management skills.

- Strong communication, critical thinking, problem-resolution and interpersonal skills.

- Proficiency in Microsoft Office Suite (e.g., Excel, Word, PowerPoint, Outlook).

**Preferred Qualifications**

- Candidates residing on the West Coast are strongly preferred.

**Education**

- Bachelor's degree preferred or a combination of professional work experience and education.

**Anticipated Weekly Hours**

40

**Time Type**

Full time

**Pay Range**

$60,300.00 - $132,600.00

**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.

## Skills

### Required
- Microsoft Office Suite
- contract management
- provider relationship management
- healthcare industry knowledge
- communication
- critical thinking
- problem-resolution
- interpersonal skills

### Nice to have
- West Coast residence

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Source: [Apply at cvshealth.wd1.myworkdayjobs.com](https://cvshealth.wd1.myworkdayjobs.com/en-US/CVS_Health_Careers/job/AZ---Work-from-home/Contract-Negotiation-Manager_R1069484?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)