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CVS Health

Contract Negotiation Manager- Behavioral Health

Great Sankey
$66.3k – $145.9k/yr
Posted 6 days ago
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Contract Negotiation Manager

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 themselves 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.


Position Summary

The Contract Negotiation Manager will:

  • Negotiate and execute high-level reviews, analyses, and disputes of contracts with single and group Behavioral Health providers within a defined market

  • Manage contract performance and support the development and implementation of:

    • Strategic traditional contracts
    • Value-based contract relationships
  • Negotiate, execute, review, and analyze contracts, or facilitate dispute resolution and settlement negotiations with:

    • Solo and group Behavioral Health providers
    • Across all lines of business (Medicare, commercial, etc.)
  • Ensure optimal risks and opportunities within defined metrics across all levels of provider agreements. Responsibilities:

  • Manages contract performance to support:

    • Network quality
    • Provider availability
    • Financial goals and strategies across all lines of business
  • Recruits Behavioral Health providers as needed to meet network expansion and adequacy targets in:

    • Medicare
    • Commercial markets
  • Collaborates cross-functionally to develop and execute:

    • Provider compensation and pricing strategies
    • Contributing to reimbursement modeling activities
    • Submitting contractual information
    • Analyzing development and operational reports
  • Identifies and recommends strategies to manage cost issues, maximize revenue opportunities, and supports initiatives.

  • Provides network development, maintenance, and refinement strategies to support cross-market provider networks.

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  • Assists with the design, development, implementation, and refinement of:

    • Strategic network configurations
    • Integration activities
  • Optimizes interaction with providers and internal business partners to:

    • Manage provider relationships
    • Ensure provider needs are met
  • Resolves escalated issues, including but not limited to:

    • Claims payment
    • Contract interpretation and parameters
    • Accuracy of provider contracts or demographic info

Required Qualifications

  • 5–7 years of experience in healthcare, with a minimum of 3+ years of:

    • Documented, proven managed care network negotiation skills
    • Experience in provider relations or contractual agreements
  • Working knowledge of:

    • Competitive strategies
    • Complex contracting options
    • Financial/contractual arrangements
    • Regulatory requirements
  • Strong written and verbal communications, particularly:

    • Presentations with external stakeholders
  • Critical thinking with problem resolution skills

  • Adept at:

    • Execution (planning, delivery, and support)
    • Cross-functional collaboration
    • Driving results while balancing competing priorities
    • Self-discipline, professionalism, and trustworthiness
  • Ability to work across multiple time zones, preferably from:

    • Mountain or Pacific time zones
  • Preferred Education:

    • Bachelor’s degree or equivalent speciality training or professional qualification

Preferred Qualifications

  • Experience with California/Arizona/Alaska Behavioral Health provider markets

  • Knowledge and familiarity with:

    • Commercial HMO/PPO product development
    • Medicare and/or Medicaid contracts
  • 3–5 years of experience preferred in:

    • Negotiating commercial HMO/PPO contracts
    • Medicare and/or Medicaid contractng

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Position Details: Role and Compensation

  • Weekly hours: 40 hours/week
  • Work type: Full time
  • Pay range: $66,330.00 – $145,860.00 Considerations include geographical location, experience, degree, market demand, modality, responsibility, responsibilities, skill, and complexity. Salary is base rate only and will be subject to change annually as the company evolves.
  • Potential incentives: Incentive plans, including short-term performance-based rewards

Our Commitment to Inclusion

CVS Health’s people reflect the diversity, skills, creativity, and backgrounds of the patients and communities we serve. We foster a workplace where everyone feels they belong and have the opportunity to thrive. Learn more here.


Benefits Highlights

As a full-time colleague, we offer:

  • Medical, dental, and vision coverage

  • Paid time off

  • Retirement savings options

  • Wellness programs

  • Financial, emotional, and physical well-being support

  • Additional benefits outlined during application and at Benefits Moments


Our Work Culture

Our teams include self-disciplined, hardworking, curious, and collaborative colleagues. Led by core values of humility, honesty, and accountability, our employees are:

✔ Self-disciplined, loyal, committed, and proud ✔ Collaborative and strategic in making a difference ✔ Trust-driven and alignment-focused

Winner of #1 Top Workplace in 2023 (sample highlighting),CVS: We all do… what matters


Terms

  • Qualifications and application information will be reviewed for United States lawful authorization to work in the U.S.

  • Competitive candidates must abide by federal, state, and local EEO laws and employment eligibility guidelines.



Closing Date:

For consideration, submit by September 1, 2026.

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Skills

Contract Negotiation
Behavioral Health
Managed Care
Provider Relations
Dispute Resolution
Financial Analysis
Network Development
Reimbursement Modeling
Strategic Planning
Critical Thinking
Interpersonal Skills
Business Acumen
Collaboration
Execution and Delivery
Written Communication
Stakeholder Management

Location

Great Sankey, England, United Kingdom

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