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CVS Health

Contract Negotiation Manager

CVS Health

Contract Negotiation Manager leading negotiations and managing provider relationships at CVS Health. Driving access, quality, compliance, and cost efficiency while enhancing overall network performance.

Posted 6/16/2026full-timeSpringfield • Illinois • 🇺🇸 United StatesMid-LevelSenior💰 $66,330 - $145,860 per yearWebsite

About the role

Key responsibilities & impact
  • Lead end-to-end contract negotiations, execution, and analysis with a focus on ancillary providers, physician groups, and smaller/local systems
  • Manage contract performance and drive the development and implementation of value-based arrangements aligned with organizational strategy
  • Identify, recruit, and onboard providers to meet network expansion and adequacy targets; accountable for delivering competitive and sustainable cost arrangements
  • Partner cross-functionally to support provider compensation strategy, pricing development, and reimbursement modeling
  • Analyze financial and operational data to identify cost-saving opportunities and execute initiatives that drive measurable impact
  • Serve as a key representative of the organization with providers, customers, and community stakeholders, strengthening partnerships and collaboration
  • Evaluate and contribute to provider network strategy, ensuring alignment with state requirements, product needs, and cost management objectives
  • Optimize provider engagement and resolve complex escalations related to claims, contract interpretation, and provider data accuracy

Requirements

What you’ll need
  • 5+ years of experience negotiating contracts with ancillary providers, facilities, and physician groups
  • Demonstrated ability to leverage competitive market data, financial metrics, and detailed analysis to secure favorable contract outcomes
  • 3+ years of experience in provider relationship management or related healthcare roles, with proven contract management expertise
  • Strong knowledge of provider reimbursement methodologies, contract structures, and industry-standard payment policies and practices
  • Solid understanding of provider financial drivers, regulatory requirements, and competitive market dynamics
  • Advanced proficiency in Microsoft Office applications, including Excel, Word, and Outlook
  • Proven ability to build and maintain collaborative relationships with providers while partnering cross-functionally to resolve complex contract issues
  • Highly organized with strong prioritization skills; able to manage multiple negotiations and competing priorities while meeting deadlines
  • Candidates must reside in the state of Illinois.

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 reimbursement methodologiesfinancial analysiscost-saving initiativesdata analysispricing developmentreimbursement modelingprovider network strategyclaims resolution
Soft Skills
collaborative relationshipsorganizational skillsprioritization skillscross-functional partnershipproblem-solvingcommunicationstakeholder engagementrelationship managementnegotiation skillsadaptability