Provider Contract Negotiation Manager

CVS Health

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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. About the Role: Join Aetna’s Network Management team as a 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

• 3+ years of provider contracting and relationship experience, including contract language, rate proposals, and financial analysis.
• Proficiency in Microsoft Word, Excel, and Office Suite.
• Demonstrated ability to use competitive and financial data to negotiate favorable contracts.

Nice To Haves

• Strong critical thinking, problem-solving, organizational, communication, and interpersonal skills.
• Ability to manage multiple negotiations and tasks simultaneously, meeting deadlines and maintaining strong relationships internally and externally.
• Experience with value-based contract negotiation or management is a plus.

Responsibilities

• Negotiate competitive contracts with 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

• 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: Mid Level