Senior Manager, Provider Contract Negotiations (Georgia)

CVS HealthConyers, GA
$67,900 - $149,328Hybrid

About The Position

Negotiates, executes, and analyzes contracts with larger and more complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals related to accessibility, quality and financial performance. Manages and facilitates dispute resolution processes to address issues arising from provider contracts, ensuring equitable solutions. Leverages negotiation skills and working knowledge of provider financial issues to optimize contracts and collaborate with large hospitals and health systems to achieve successful contracting outcomes, all while supporting cost-saving initiatives and the growth of the provider network Leads contract settlement negotiations, striving to reach mutually beneficial agreements with providers that maintain and enhance the provider network. Implement strategies to enhance and expand the provider network, while ensuring it meets accessibility and quality standards. Aligns provider contracts with financial goals and cost-saving initiatives, ensuring that contracts support the company's financial objectives. Conducts comprehensive reviews and analyses of provider contracts, identifying areas for improvement and optimization. Ensures that all provider contracts adhere to regulatory requirements, maintaining compliance with healthcare regulations. Utilizes working knowledge of provider financial issues and competitor strategies to inform negotiation and contracting decisions. Facilitates leadership, guidance, and mentorship to a team of professionals by setting strategic objectives, monitoring team performance, providing training and development opportunities, and fostering a collaborative and innovative work environment. Partner cross-functionally with key stakeholders across the organization.

Requirements

  • 7+ years of provider contract negotiation experience, working with healthcare providers, including hospitals, physicians, specialists and ancillary service providers.
  • Growth mindset (agility and developing yourself and others) skills.
  • Execution and delivery (planning, delivering, and supporting) skills.
  • Business intelligence and communication skills across multiple levels of leadership.
  • Proven ability to manage competing priorities and deliver high quality work.
  • Candidate must reside near the Atlanta, GA area.
  • Required to report to Atlanta office at least 1x per month.

Nice To Haves

  • Hands-on experience with value-based contracting and alternative payment arrangements.

Responsibilities

  • Negotiates, executes, and analyzes contracts with larger and more complex healthcare group/system providers.
  • Manages and facilitates dispute resolution processes to address issues arising from provider contracts.
  • Leads contract settlement negotiations.
  • Implement strategies to enhance and expand the provider network.
  • Aligns provider contracts with financial goals and cost-saving initiatives.
  • Conducts comprehensive reviews and analyses of provider contracts.
  • Ensures that all provider contracts adhere to regulatory requirements.
  • Utilizes working knowledge of provider financial issues and competitor strategies to inform negotiation and contracting decisions.
  • Facilitates leadership, guidance, and mentorship to a team of professionals.
  • Partner cross-functionally with key stakeholders across the organization.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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