Contract Negotiation Manager – Northern Ohio

CVS Health • Toledo, OH

14d

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary This is an individual contributor role. The Manager of Contract Negotiation builds and maintains strategic relationships with physician partners in the Northern Ohio market, supporting Commercial and Medicare lines of business. In addition to managing these relationships, the Manager develops, reviews, analyzes, and executes provider contracts. They ensure proper implementation of negotiated agreements and monitor contract performance to align with accessibility, compliance, quality, financial, and cost objectives. Lead the development and execution of innovative programs to advance contract negotiation initiatives across the organization. Anticipate industry changes, evaluate their impact, and formulate strategic responses. Design and implement systems to recruit providers, supporting network expansion and adequacy goals. Conduct competitive analyses to inform reimbursement strategies. Foster cross-functional collaboration to enhance provider compensation methodologies and analyze financial impacts of reimbursement models. Recommend strategies to address cost challenges and drive cost-saving initiatives and settlement activities. Support network development, maintenance, and optimization to achieve company and market objectives. Mentor colleagues on best practices, processes, and responsibilities to strengthen team capabilities.

Requirements

• 3–5 years of experience in provider contracting.
• Demonstrated expertise in provider contracts and payment strategies.
• Strong ability to collaborate and solve problems with internal and external stakeholders.
• Comprehensive understanding of Northern Ohio’s healthcare landscape.

Nice To Haves

• Proficiency in Microsoft Word, Excel, and PowerPoint.
• Exceptional written and verbal communication skills, particularly with external stakeholders.
• Strong critical thinking, problem-solving, and interpersonal skills.

Responsibilities

• Build and maintain strategic relationships with physician partners in the Northern Ohio market, supporting Commercial and Medicare lines of business.
• Develop, review, analyze, and execute provider contracts.
• Ensure proper implementation of negotiated agreements and monitor contract performance to align with accessibility, compliance, quality, financial, and cost objectives.
• Lead the development and execution of innovative programs to advance contract negotiation initiatives across the organization.
• Anticipate industry changes, evaluate their impact, and formulate strategic responses.
• Design and implement systems to recruit providers, supporting network expansion and adequacy goals.
• Conduct competitive analyses to inform reimbursement strategies.
• Foster cross-functional collaboration to enhance provider compensation methodologies and analyze financial impacts of reimbursement models.
• Recommend strategies to address cost challenges and drive cost-saving initiatives and settlement activities.
• Support network development, maintenance, and optimization to achieve company and market objectives.
• Mentor colleagues on best practices, processes, and responsibilities to strengthen team capabilities.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees