Behavioral Health Contract Negotiation Manager
About The Position
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. This is an individual contributor role. Join Aetna's Network Management team as a Behavioral Health Contract Negotiator and play a key role in building and maintaining a high-performing provider network. You'll leverage your negotiation skills and analytical expertise to secure competitive contracts, support value-based care initiatives, and drive positive outcomes for our members and partners.
Requirements
- 5+ years of provider contracting and relationship experience, including contract language, rate proposals, and financial analysis.
- Strong proficiency in Microsoft Office Suite, including Excel, Word, and PowerPoint.
- Demonstrated ability to use competitive and financial data to negotiate favorable contracts.
Nice To Haves
- Experience in Behavioral Health Contracting, Provider Network Management, or Behavioral Health Operations.
- Strong critical thinking, problem-solving, organizational, communication, and interpersonal skills.
- Ability to manage multiple negotiations and tasks simultaneously, meeting deadlines and maintaining strong relationships both externally and internally.
- Strong preference for candidates residing in the Central Region states, including Illinois, Colorado, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, or Wisconsin.
Responsibilities
- Negotiate competitive contracts with behavioral healthcare providers, ensuring alignment with internal guidelines and financial standards.
- Draft and review contract language, collaborating with cross-functional teams for non-standard terms.
- Conduct financial and competitive analyses to achieve best-in-market discounts and meet financial targets.
- Manage contract performance and coordinate with internal departments to resolve issues related to contract execution, loading, and ongoing maintenance.
- Support the implementation of value-based contracts in line with business strategies.
- Build and maintain strong relationships with key providers, ensuring timely resolution of escalated issues such as claims, contract interpretation, and provider data accuracy.
- Negotiate settlements and recruit providers as needed to ensure network adequacy and support expansion goals.
- Maintain accountability for specific medical cost initiatives.
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
- CVS Health bonus, commission or short-term incentive program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
