This is a relationship-plus-numbers role: you’re recruiting providers to shore up network coverage, negotiating rates and contract language within Aetna standards, and then owning the follow-through (building the contract, signatures, loading, and ongoing performance). If you like the chase of negotiations but also have the discipline to manage details after the handshake, this one fits.
About CVS Health
CVS Health is a major health solutions company working to make care more connected, convenient, and compassionate. This role sits in the corporate lane and supports provider network strategy and cost management through contract negotiation and performance management.
Schedule
- Full-time, 40 hours per week
- Remote
- Application window expected to close: 01/31/2026
What You’ll Do
- Recruit providers as needed to ensure network adequacy and support expansion goals
- Negotiate contracts with healthcare providers using internal financial standards and guidelines
- Use competitive intel to negotiate best-in-market discounts
- Develop rate proposals and run financial analyses to ensure targets are hit
- Negotiate contract language aligned to Aetna standards, partnering with internal teams when terms fall outside standards
- Build contracts and amendments in the contract management system
- Obtain signatures, track progress post-signature, and verify accuracy after release
- Manage contract performance and coordinate with internal departments on:
- Execution and loading
- Ongoing maintenance
- Questions and issue resolution
- Support negotiation and implementation of value-based contracting arrangements
- Manage relationships with key providers and resolve escalated issues, including:
- Claims payment concerns
- Contract interpretation and parameters
- Provider contract and demographic accuracy
- Negotiate settlements when needed
- Identify cost issues and recommend cost-saving initiatives
What You Need
- 3+ years negotiating contracts with providers such as:
- Ancillary providers
- Facilities
- Physician groups
- IPAs
Including rate proposal development, contract language negotiation, financial analysis, and competitive data analysis
- Knowledge of common contract provisions and provider reimbursement methodologies
- Understanding of industry payment policies and practices
- Understanding of provider financial issues, regulatory requirements, and competitor strategies
- High proficiency in Microsoft Office (Outlook, Word, Excel, etc.)
- Strong communication, analytical, and negotiation skills
- Ability to manage expectations and maintain strong internal and external relationships
- Strong organization and prioritization across multiple negotiations and deadlines
- Bachelor’s degree or equivalent combination of education and experience
Preferred
- Strong problem resolution and decision-making
- Hospital contract negotiation and or management experience
- Value-based contracting negotiation and or management experience
Benefits
- Pay range: $54,300–$145,860 (final offer varies by experience, education, geography, and other factors)
- Eligible for bonus, commission, or short-term incentive program in addition to base pay
- Affordable medical plan options
- 401(k) with matching contributions
- Employee stock purchase plan
- No-cost programs: wellness screenings, tobacco cessation, weight management, confidential counseling, financial coaching
- Paid time off and flexible work schedules (where eligible)
- Family leave, dependent care resources, colleague assistance programs, tuition assistance, and more (depending on eligibility)
Happy Hunting,
~Two Chicks…