Contract Negotiation Manager - Indiana

CVS Health•Work At Home-Indiana, IN

1d•$54,300 - $119,340•Onsite

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.

Requirements

5+ years of experience in provider relations, contracting or managed care environment.
Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills with proven ability to influence and collaborate with providers and partners at all levels.
Strong knowledge and experience in problem-solving techniques.
Highly organized with strong prioritization skills; able to manage multiple negotiations and competing priorities while meeting deadlines.
Candidates must reside in the state of Indiana.

Nice To Haves

Experience with Commercial and Medicare lines of business.

Responsibilities

Manages contract performance, and drives the development and implementation contract relationships in support of business strategies.
Recruits providers as needed to ensure attainment of network expansion and adequacy targets.
Accountable for cost arrangements within defined groups.
Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.
Responsible for identifying and managing cost issues and collaborating cross functionally to execute significant cost saving initiatives.
Represents company with providers, groups and health systems.
Promotes collaboration with internal partners.
Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements.
Collaborates with internal partners to assess effectiveness of tactical plan in managing costs.
May optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met.
Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.