Senior Manager, Contracting and Network Management

CVS Health

Senior Manager overseeing contracting and network management for health systems in Indiana. Negotiating and managing provider contracts while ensuring network adequacy and performance.

Posted 5/7/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $67,900 - $149,328 per yearWebsite

About the role

Key responsibilities & impact

Negotiate, execute, review, and analyze contracts and/or handle dispute resolution and settlement negotiations focused on health systems in Indiana
Manage contract performance
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
Optimize interaction with assigned providers and internal business partners to manage relationships and ensure provider needs are met
Ensure resolution of escalated issues related to claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information
Recruit providers as needed to ensure attainment of network expansion and adequacy targets
Identify and make recommendations to manage cost issues and support cost saving initiatives and/or settlement activities
Assist with the design, development, management, and/or implementation of strategic network configurations

Requirements

What you’ll need

Must reside in Indiana
Minimum 7+ years related experience and comprehensive level of negotiating with individual or complex provider systems or groups
Knowledge of Indiana provider systems and market landscape
Related experience in health operations, network relations and development, command of financials and pricing strategies, and sales interface
Experience building and maintaining relationships with provider systems
A successful track record managing and negotiating major provider contracts
In depth knowledge of various reimbursement structures and payment methodologies for both hospitals and providers/providers

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

contract negotiationcontract managementprovider compensationpricing developmentreimbursement modelingclaims paymentcontract interpretationnetwork configurationscost managementsettlement negotiations

Soft Skills

relationship managementcommunicationproblem-solvinganalytical thinkingnegotiationcollaborationstrategic thinkingleadershipinterpersonal skillsorganizational skills