Contract Negotiation Manager (Texas)
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Texas • United States
Visit company websiteExplore more
Salary
💰 $60,300 - $132,600 per year
About the role
- Responsible for building and sustaining strategic relationships with physician partners, including ancillary providers and multiple groups across various Texas markets.
- Manages contract performance in support of network quality, availability, and financial goals and strategies for all lines of business (Medicare, commercial etc.).
- Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations.
- Provides Behavioral Health network development, maintenance, and refinement activities and strategies in support of cross market network management unit.
- Ensures resolution of escalated issues related to claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.
Requirements
- 5–7 years of relevant experience with demonstrated, proficient managed care network negotiation skills.
- 5–7 years of experience with strong working knowledge of competitor strategies, complex contracting methodologies, financial and reimbursement arrangements, and applicable regulatory requirements.
- Strong communication, critical thinking, problem solving, and interpersonal skills with the ability to influence, collaborate, and resolve issues effectively.
- 3–5 years of experience and solid understanding of Commercial HMO, PPO, and Medicare products.
- In-depth knowledge of the Texas region, including comprehensive familiarity with the Texas Behavioral Health provider landscape.
- Proficiency in Microsoft Office Suite, including Excel, Word, and related applications.
- Candidates must reside in the state of Texas.
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling, and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
managed care network negotiationcontract performance managementprovider compensation developmentpricing developmentclaims payment resolutioncontract interpretationfinancial arrangementsreimbursement arrangementsregulatory requirementsknowledge of HMO, PPO, Medicare products
Soft Skills
communicationcritical thinkingproblem solvinginterpersonal skillsinfluencecollaborationissue resolution