CVS Health is looking for a Contract Negotiation Manager- Behavioral Health to join our team. You will negotiate and execute high-level review and analysis, manage dispute resolution and settlement negotiations of contracts with single and group Behavioral Health providers within a defined market. You'll manage contract performance and support the development and implementation of strategic, traditional contracts and value-based contract relationships.

What You'll Do

Negotiate, execute, review, and analyze contracts and/or handle dispute resolution and settlement negotiations with solo and group Behavioral Health providers for all lines of business.
Manage contract performance in support of network quality, availability, and financial goals and strategies for all lines of business.
Recruit Behavioral Health providers as needed to ensure attainment of network expansion and adequacy targets.
Collaborate cross-functionally to contribute to provider compensation and pricing development activities and recommendations.
Identify and make recommendations to manage cost issues and support cost saving initiatives and/or settlement activities.
Provide Behavioral Health network development, maintenance, and refinement activities and strategies.
Assist with the design, development, management, and or implementation of strategic network configurations, including integration activities.
Optimize interaction with assigned providers and internal business partners to manage relationships and ensure provider needs are met.
Ensure resolution of escalated issues related to claims payment, contract interpretation, or accuracy of provider information.

What We're Looking For

Minimum 3+ years related experience in proven and proficient managed care network negotiation or provider relations.
Proven working knowledge of competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements.
Strong and persuasive communication skills, especially written communications, with external stakeholders.
Strong critical thinking, problem resolution and interpersonal skills.
Adept at execution and delivery (planning, delivering, and supporting) skills.
A ready business acumen and the ability to balance and articulate competing priorities while making decisions.
Adept at collaboration and teamwork.
Ability to work from home locations in Pacific, Mountain, or Central time zones, including WA, OR, or NV.

Nice to Have

Familiarity with the Washington, Oregon, or Nevada region Behavioral Health provider market.
3-5 years related experience with Commercial HMO and PPO products.
3-5 years related experience with Medicare and/or Medicaid products.
Residency in Mountain or Pacific Time Zones.

Team & Environment

This role supports our cross-market network management unit.

Benefits & Compensation

Compensation range: $66,330.00 - $145,860.00.
Affordable medical plan options, a 401(k) plan with matching company contributions, and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Comprehensive benefit solutions including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits.

Work Mode

This is a hybrid position based in WA, OR, or NV.

CVS Health is passionate about transforming health care and caring for people where, when and how they choose. We are committed to fostering a workplace where every colleague feels valued and that they belong. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.