CVS Health

Payor Relations & Contracting Manager

CVS Health$60K — $132K *
US-Anywhere
+ 20 other locationsRemote
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5+ years in healthcare administration or health insurance environments.
  • 3+ years managing provider relationships and contracts.
  • Proven ability to partner with various stakeholders to solve issues.
  • Skilled in Microsoft Word, Excel, and PowerPoint.

Responsibilities

  • Lead and execute innovative contract negotiation initiatives.
  • Evaluate industry changes and craft strategic responses.
  • Design systems to recruit providers for network growth.
  • Conduct competitive analyses for reimbursement strategies.
  • Enhance provider compensation methods via cross-functional collaboration.
  • Propose strategies for cost challenges and savings initiatives.
  • Mentor team members on best practices and contract processes.

Benefits

  • Comprehensive medical, dental, and vision coverage.
  • Paid time off and wellness programs.
  • Retirement savings options for financial planning.
  • Resources for physical and emotional well-being.
Full Job Description
Position Summary

This is an individual contributor role.

The Manager of Contract Negotiation develops and maintains strategic relationships with physician partners across the Northern Ohio market, leading contract management and provider relations initiatives that support 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.

Key Responsibilities:

  • 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.

Required Qualifications

  • 5 years of experience leading or supporting operational functions within healthcare administration or health insurance environments.
  • 3+ years managing provider relationships and overseeing contract management functions.
  • Demonstrated ability to partner with internal and external stakeholders to identify root causes, develop solutions, and drive issue resolution within established timelines.
  • Proficiency in Microsoft Word, Excel, and PowerPoint.

Preferred Qualifications

  • 3+ years experience with provider contract negotiation or provider relations experience
  • Experience with EPDB (Enterprise Provider Database, SCM (Strategic Contract Manager), and Provider Data Management.
  • Experience with Commercial and Medicare lines of business.
  • Exceptional written and verbal communication skills, particularly with external stakeholders.
  • Strong critical thinking, problem-solving, and interpersonal skills.
  • Candidates residing in Ohio are strongly preferred.

Education

  • Bachelor’s degree or equivalent combination of education and professional work experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,300.00 - $132,600.00

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 full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being 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: 11/13/2026

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.

Stay Connected

Keep up to date with the latest news, career tips, and industry insights from CVS Health. Personalize your experience by subscribing to job alert emails, tailored to your preferences and professional interests. Discover the rewarding opportunities that await at CVS Health, where your career development is always a priority.

Search CVS Health Jobs

Don’t just look for a job. Look for a place where you can be a part of something bigger. Visit our careers page to find the position that’s right for you and join a team that values innovation and leadership in healthcare.

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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