CVS Health • Houston, TX 77007
Job #2686217480
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
In this individual contributor role the Network Management Senior Manager will negotiate, execute, and conduct high level review and rate analysis, dispute resolution and/or settlement negotiations of contracts with larger and more complex, regional based hospital systems, large physician groups, and ancillaries in accordance with company standards.
As a Senior Network Manager you will manage contract performance and support the development and implementation of strategic, value-based contract relationships, maintain and enhance provider networks to meet accessibility, quality, financial goals and cost initiatives for our Medicaid products.
Required Qualifications
Critical thinking to maintain cost management and a fully engaged network of participating hospitals, ancillaries and providers. 5-7 years related experience and comprehensive level of negotiating skills with successful track record negotiating contracts with complex provider systems or groups. 3+ years of related experience at an Expert level negotiation skills with successful track record negotiating contracts with large or complex health systems
Microsoft Office/Excel proficient Ability to travel in assigned market up to 25% of the time as needed (Texas).
Preferred Qualifications Healthcare Industry experience with either a payer or provider Strong communication, critical thinking, problem resolution and interpersonal skills. Understanding knowledge of Value Based Contracting Internal Aetna system knowledge a plus Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements.
Preferred Location: Houston, Texas market Education Bachelor's Degree or equivalent combination of education and experience.
Pay Range
$75,400.00 - $166,000.00
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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company 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 ~~~/benefits
We anticipate the application window for this opening will close on: 06/24/2024
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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