Contract Negotiation Manager

CVS Health

Contract Negotiation Manager handling Medicaid contracts and provider negotiations. Collaborating with teams to enhance provider compensation and ensure network adequacy.

Posted 6/11/2026full-timeRemote • Kentucky • 🇺🇸 United StatesMid-LevelSenior💰 $54,300 - $119,340 per yearWebsite

About the role

Key responsibilities & impact

Reviews, analyzes, negotiates and executes Medicaid contracts.
Leads reimbursement dispute resolution and settlement negotiations with provider groups for the Medicaid line of business.
Completes all activities related to standard contract intake and implementation.
Manages contract performance in support of network quality, availability, and financial goals and strategies.
Recruits providers as needed 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 as applicable.
Provides contract expertise and support to other internal business partners/units related to contract setup accuracy, language interpretation, claims payment and/or other matters requiring network contracting expertise.
Leads and/or participates in special projects.

Requirements

What you’ll need

3-5 years experience with provider contract negotiations or provider relations experience
Proven working knowledge of the Medicaid service line, preferably the state of Kentucky program.
Must reside in the state of Kentucky
Medicaid provider relations or claims payment expertise (preferred)
Proven and proficient managed care network negotiating skills.
Strong communication, critical thinking, problem resolution and interpersonal skills
Adept at execution and delivery (planning, delivering, and supporting) skills
Adept at business intelligence
Adept at collaboration and teamwork
Adept at growth mindset (agility and developing yourself and others) skills

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

provider contract negotiationsprovider relationsMedicaid service lineclaims payment expertisemanaged care network negotiatingcontract setup accuracycost managementreimbursement modelingnetwork developmentcontract performance management

Soft Skills

communicationcritical thinkingproblem resolutioninterpersonal skillsexecution and deliverybusiness intelligencecollaborationteamworkgrowth mindsetagility