CVS Health

Contract Negotiation Manager- Behavioral Health

CVS Health$66K — $145K *
US-Anywhere
+ 12 other locationsRemote
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years of healthcare experience required
  • 3+ years of managed care negotiation or provider relations experience
  • In-depth knowledge of competitor strategies and regulatory requirements
  • Exceptional written communication skills for external stakeholder engagement
  • Strong critical thinking and problem resolution skills
  • Adept at execution and delivery while balancing competing priorities
  • Team-oriented with strong collaboration skills

Responsibilities

  • Negotiate and manage contracts with Behavioral Health providers
  • Oversee contract performance to meet quality, availability, and financial goals
  • Recruit Behavioral Health providers for network expansion
  • Collaborate on pricing and compensation development activities
  • Recommend solutions for managing cost issues and settling disputes
  • Implement strategic network configurations and integration activities
  • Manage provider relationships and resolve escalated contract issues

Benefits

  • Comprehensive medical, dental, and vision coverage
  • Paid time off for work-life balance
  • Retirement savings options
  • Wellness programs to support overall well-being
  • Resources for colleagues and their families throughout employment
Full Job Description
Position Summary The Contract Negotiation Manager will negotiate and execute high-level review and analysis, manage dispute resolution and settlement negotiations of contracts with single and group Behavioral Health providers within a defined market. You will manage contract performance and support the development and implementation of strategic, traditional contracts and value-based contract relationships. - Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo and group Behavioral Health providers for all lines of business (Medicare, commercial etc.). - Manages contract performance in support of network quality, availability, and financial goals and strategies for all lines of business (Medicare, commercial etc.). - Recruits Behavioral Health providers as needed to ensure attainment of network expansion and adequacy targets for all lines of business (Medicare, commercial etc.). - Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. - Responsible for identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities. - Provides Behavioral Health network development, maintenance, and refinement activities and strategies in support of cross-market network management unit. - Assists with the design, development, management, and or implementation of strategic network configurations, including integration activities. May optimize interaction with assigned providers and internal business partners to manage 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. Required Qualifications - 5 - 7 years experience in healthcare. - Minimum 3+ years related experience, proven and proficient managed care network negotiating skills or in provider relations. - Proven working knowledge of competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements. - Strong and persuasive communication skills, especially written communications, with external stakeholders - Strong critical thinking, problem resolution and interpersonal skills - Adept at execution and delivery (planning, delivering, and supporting) skills - A ready business acumen and the ability to balance and articulate competing priorities while making decisions - Adept at collaboration and teamwork - Ability to work Pacific and Mountain, time zones, preferably based in California Preferred Qualifications - Versed with the California / Alaska / Arizona region Behavioral Health provider market highly preferred - 3-5 years related experience Commercial HMO, PPO products knowledge - 3-5 years related experience Medicare and/or Medicaid products knowledge - Ideal candidate will reside in Mountain or Pacific Time Zones. Education - Bachelor's degree preferred/specialized training/relevant professional qualification. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $66,330.00 - $145,860.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on . We anticipate the application window for this opening will close on: 09/01/2026

About CVS Health

Omnicare provides comprehensive pharmaceutical services to patients and providers across the United States. As the market-leader in professional pharmacy, related consulting and data management services for skilled nursing, assisted living and other chronic care settings, Omnicare leverages its unparalleled clinical insight into the geriatric market along with some of the industry's most innovative technological capabilities to the benefit of its long-term care customers. Omnicare also provides key commercialization services for the bio-pharmaceutical industry through its Specialty Care Group.

CVS Health Careers

Joining CVS Health presents a unique opportunity to advance your career in a company where innovation, leadership, and growth go hand in hand. As a leader in the healthcare industry, CVS Health is more than just a pharmacy. We are a team of professionals dedicated to improving lives and optimizing health outcomes.

Work You’ll Do

At CVS Health, you will be part of a culture that values diversity and inclusivity, fostering an environment where every team member’s contribution is valued. Engage in meaningful work that directly impacts lives, driving innovation in healthcare services and solutions.

Explore Job Opportunities

Whether you’re looking for a position in pharmacy services, corporate leadership, or in-store management, CVS Health offers a variety of employment opportunities that will help you harness your skills and thrive professionally. Our job opportunities span across a wide range of professional fields and geographic locations, ensuring that your career at CVS Health aligns with your professional goals and lifestyle.

Internship Programs

Kickstart your career with CVS Health through our internship programs. These opportunities are designed for ambitious students eager to develop their skills in a real-world setting. Internships at CVS Health are not only about gaining work experience but also about making meaningful contributions to our ongoing projects.

Professional Growth and Development

CVS Health is committed to the professional growth of our employees. With access to cutting-edge technology, industry-leading experts, and comprehensive diversity training, our team members are equipped to lead and innovate. We support career advancement through professional development programs, leadership training, and opportunities for networking and internal mobility.

Benefits and Culture

Our employees enjoy a range of benefits that reflect our commitment to their well-being and success. From health and wellness benefits to professional development programs, CVS Health is dedicated to ensuring our team members have the resources they need. Our inclusive culture encourages collaboration and continuous learning, making CVS Health a place where you can grow and succeed.

Join Our Team

Ready to take the next step in your career? Explore the open positions at CVS Health that match your skills and interests. We are continuously hiring and looking for passionate, curious, and solution-driven team players.

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READ CAREERS BLOG

Stay ahead in your career with insights from those who know CVS Health best – our team. Learn from their experiences and get insider tips that can help you succeed in your next interview, craft a standout resume, and build a career you’re proud of at CVS Health.
Learn more about CVS Health
Size
300,000 employees
Market Cap
$122 billion
Industry
Net Income
$7.1 billion
Founded
1963
5 Year Trend
+10.5%
Revenue
$268.7 billion
NASDAQ

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