Job Information
CVS Health Manager, Network Contract Negotiation in Tallahassee, Florida
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary Join Aetna/CVS Health as the Manager of Contract Negotiation. In this high impact, individual contributor role, you will negotiate , execute, review, and analyze physician and ancillary contracts in the North Florida Market. You will resolve dispute resolution and settlement negotiations with providers and ensures contract performance aligns with accessibility, compliance, quality, financial, and cost goals. Additional Responsibilities:
Establishes and implements programs and innovative initiatives for the organization to advance Contract Negotiations initiatives.
Forecasts changes within the industry, conducts business impact assessments, and develops modification strategies with the aid of process improvement methodologies.
Designs systems to recruit providers in support of network expansion and adequacy targets.
Integrates cross-functional collaboration to contribute to provider compensation and pricing development activities and recommendations for negotiations and reimbursement modeling activities.
Determines recommendations to manage cost issues and support cost-saving initiatives and settlement activities.
Assists in the management of network development, maintenance, and refinement activities and strategies in support of cross-market network management units.
Required Qualifications
3+ years’ experience in provider contracting, provider relations or related experience
Proficient in Office Suite, expertise in Excel and Word
Preferred Qualifications
Reside in Florida market.
Education
Bachelor’s Degree or equivalent combination of education and experience
Pay Range
The typical pay range for this role is:
$54,300.00 - $132,600.00
This 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits
We anticipate the application window for this opening will close on: 04/26/2024
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.