Join CVS Health and Bring Your Heart to Every Moment
At CVS Health, our collective purpose is clear and simple: Bringing our heart to every moment of your health. Anchored in our brand, with heart at its center, this purpose drives our commitment to delivering enhanced human-centric health care for a rapidly changing world.
Our Heart At Work Behaviors™ support this purpose, empowering every CVS Health team member to play a crucial role in transforming our culture and accelerating innovation. Our goal is to deliver solutions that make health care more personal, convenient, and affordable.
Position Summary
Negotiate, execute, and conduct high-level review and analysis, dispute resolution, and settlement negotiations of contracts with larger and more complex, market/regional/national-based group/system providers. This is done in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality, financial goals, and cost initiatives. Focus on behavioral health provider and facility types.
Required Qualifications
- Minimum 5+ years related experience and comprehensive negotiating skills
- Successful track record negotiating contracts, including fee schedules, with individual or complex provider systems or groups
- Proven working knowledge of provider financial issues and competitor strategies
- Strong communication, critical thinking, problem resolution, and interpersonal skills
- Experience in provider relations activities, including claims issue resolution, adding new locations, general provider data maintenance, and contract amendments
Preferred Qualifications
- Experience supporting compliance/regulatory activities
- Previous experience in West coast region states a plus
- Experience in commercial, Medicare, and Medicaid lines of business ideal
Education
Bachelor’s Degree or equivalent combination of education and experience
Pay Range
The typical pay range for this role is: $79,200.00 – $170,800.00. The actual base salary offer will depend on various 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. It also includes an award target in the company’s equity award program.
Benefits
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. CVS Health offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long-term disability benefits.
CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time, and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits.
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19. Proof of vaccination or application for a reasonable accommodation is required within the first 10 days of employment. CVS Health is committed to providing equal access to the benefits and privileges of employment, including reasonable accommodations for individuals with disabilities.
If you need a reasonable accommodation, including a qualified interpreter, written information in other formats, translation, or other services, contact [email protected]. If you have a speech or hearing disability, call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours.
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