Position SummaryAt Aetna®, part of CVS Health, we proudly serve more than 26 million medical members through our broad range of health plan offerings. We're committed to delivering a simpler, more meaningful, and personal health care experience to each of them.
As a Senior Manager Medicare Product, Vendor Management Contract Lead you will play a critical role contracting, negotiations, oversight of vendors and assisting in achieving CVS goals, work strategically together, and remain as adaptable as possible in an ever-changing environment.
This role's scope of responsibility includes overseeing the following in relation to Medicare Product vendor management: Finance, Contracts, Invoicing, Negotiations, Provisioning, Aetna Medicare Supplemental & Duals benefits, Vendor relationship management, Compliance oversight, Auditing, and projects as assigned.
The Senior Manager, Vendor Management Contract Lead is a high impact role. You will lead advance contract and negotiation skills, work with other partner to identify root cause, address, and resolve vendor issues, manage vendors to the contract SLAs, performance guarantees and provide insight into complex vendor problems.
Responsibilities include: - Work assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors
- Contract lifecycle management
- Contract negotiations and drafting
- Invoice and financial oversight
- Lead and assist with vendor audits, state reporting
- Perform audits of vendor services to identify compliance gaps, mitigate risk, and ensure adherence to contractual and regulatory requirements
- Lead and improve the outsourced benefits administration which focuses on vendor teams support of Operations, Customer Care, Grievance & Appeals, Member Experience, and additional specialized resource teams.
- Stakeholder accountability within projects supporting the operational business areas, such as vendor Compliance, System Enhancements, Product Conversions, and Operational Initiative implementation, as needed.
- Collaborate with Implementation, Business Operations, and CVS resources to manage daily operations and performance guarantees in accordance with CVS Health expectations
- Build and maintain positive relationships with vendors
- Monitor open commitments and follow up with vendors for reporting, invoicing, contracting, price negotiations, reconciliation and expedited payments
- Lead and communicate effectively at all levels, providing data-based information that influences decisions.
- Mitigate financial risk by managing invoice validation processes, monthly accruals, weekly estimates, and final invoice uploads.
- Apply analysis based, interpretive thinking on Contract and Statement of Work reviews. Evaluate and recommend solutions during contract negotiations that allow for consistent and equitable outcomes.
- Lead program team to deliver strategic value and collaborate with internal and external partners to deliver on shared goals.
- Use communications effectively to inform and influence intended audiences and proactively network with relevant stakeholders across CVS Health and Vendor Partners to advocate for the needs and success of members and clients.
- Identify core problems or opportunities within business processes, understand the root cause and impacts, and apply proven business acumen.
- Support vendors in refining their skills and behaviors to help close their service gaps.
- Build and assist in establishing standardization for vendor management processes.
- Take on additional projects as assigned within the organizations
Required Qualifications- 7+ years of prior healthcare vendor relations, contract management, negotiations, and government programs
- 5 years of Medicare and Medicaid experience
- Strong verbal and written communication skills
- Strong attention to detail and organizational skills
- Knowledge of Vendor Pricing Models and Fee schedules
Preferred Qualifications- Proficiency in Medicare and Medicare programs and contract execution within the business domain. Including Process flow, Contractual and Financial components
- We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week. Aetna Service Operations office/hub locations will be discussed with the selected candidate
Education- Bachelor's degree or equivalent work experience
Pay RangeThe typical pay range for this role is:
$75,400.00 - $182,549.00
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. This position also includes an award target in the company's equity award program.
Great benefits for great peopleWe 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 Benefits Moments.
We anticipate the application window for this opening will close on: 08/22/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
