CVS Health
Contract Negotiation Manager - Behavioral Health
CVS Health, Springfield, Illinois, us, 62777
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary Join Aetna’s Network Management team as a behavioral health Contract Negotiator and play a key role in building and maintaining a high-performing provider network. You’ll leverage your negotiation skills and analytical expertise to secure competitive contracts, support value-based care initiatives, and drive positive outcomes for our members and partners.
Key Responsibilities
Negotiate competitive contracts with behavioral healthcare providers, ensuring alignment with internal guidelines and financial standards.
Draft and review contract language, collaborating with cross-functional teams for non-standard terms.
Conduct financial and competitive analyses to achieve best-in-market discounts and meet financial targets.
Manage contract performance and coordinate with internal departments to resolve issues related to contract execution, loading, and ongoing maintenance.
Support the implementation of value-based contracts in line with business strategies.
Build and maintain strong relationships with key providers, ensuring timely resolution of escalated issues such as claims, contract interpretation, and provider data accuracy.
Negotiate settlements and recruit providers as needed to ensure network adequacy and support expansion goals.
Maintain accountability for specific medical cost initiatives.
Required Qualifications
4+ years of provider contracting and relationship experience, including contract language, rate proposals, and financial analysis.
Proficiency in Microsoft Word, Excel, and Office Suite.
Demonstrated ability to use competitive and financial data to negotiate favorable contracts.
Ability to travel up to 10% of the time in assigned territory.
Preferred Qualifications
Strong critical thinking, problem-solving, organizational, communication, and interpersonal skills.
Behavioral Health contracting experience is preferred.
Ability to manage multiple negotiations and tasks simultaneously, meeting deadlines and maintaining strong relationships internally and externally.
Experience with value-based contract negotiation or management is a plus.
Candidates residing in the Central region and Central or Mountain time zones are preferred.
Education Bachelor’s degree or equivalent combination of education and professional experience.
Anticipated Weekly Hours 40
Time Type Full time
Pay Range The typical pay range for this role is:
$66,330.00 - $145,860.00
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.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options,
a
401(k) plan
(including 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.
Benefit solutions that address the different needs and preferences of our colleagues
including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 12/15/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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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As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary Join Aetna’s Network Management team as a behavioral health Contract Negotiator and play a key role in building and maintaining a high-performing provider network. You’ll leverage your negotiation skills and analytical expertise to secure competitive contracts, support value-based care initiatives, and drive positive outcomes for our members and partners.
Key Responsibilities
Negotiate competitive contracts with behavioral healthcare providers, ensuring alignment with internal guidelines and financial standards.
Draft and review contract language, collaborating with cross-functional teams for non-standard terms.
Conduct financial and competitive analyses to achieve best-in-market discounts and meet financial targets.
Manage contract performance and coordinate with internal departments to resolve issues related to contract execution, loading, and ongoing maintenance.
Support the implementation of value-based contracts in line with business strategies.
Build and maintain strong relationships with key providers, ensuring timely resolution of escalated issues such as claims, contract interpretation, and provider data accuracy.
Negotiate settlements and recruit providers as needed to ensure network adequacy and support expansion goals.
Maintain accountability for specific medical cost initiatives.
Required Qualifications
4+ years of provider contracting and relationship experience, including contract language, rate proposals, and financial analysis.
Proficiency in Microsoft Word, Excel, and Office Suite.
Demonstrated ability to use competitive and financial data to negotiate favorable contracts.
Ability to travel up to 10% of the time in assigned territory.
Preferred Qualifications
Strong critical thinking, problem-solving, organizational, communication, and interpersonal skills.
Behavioral Health contracting experience is preferred.
Ability to manage multiple negotiations and tasks simultaneously, meeting deadlines and maintaining strong relationships internally and externally.
Experience with value-based contract negotiation or management is a plus.
Candidates residing in the Central region and Central or Mountain time zones are preferred.
Education Bachelor’s degree or equivalent combination of education and professional experience.
Anticipated Weekly Hours 40
Time Type Full time
Pay Range The typical pay range for this role is:
$66,330.00 - $145,860.00
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.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options,
a
401(k) plan
(including 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.
Benefit solutions that address the different needs and preferences of our colleagues
including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 12/15/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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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