Contract Negotiation Manager, Medicaid (Michigan)

Job Summary

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Required Qualifications

• 5+ years experience in a provider relations, contracting or managed care environment
• Critical thinking to maintain cost management and a fully engaged network of participating PCP or specialists
• Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements
• Microsoft Office/Excel proficient
• Must reside in the state of Michigan and be able to travel in the state (up to 10-15%) as needed (Michigan)

Preferred Qualifications

• Strong communication, critical thinking, problem resolution and interpersonal skills
• Understanding knowledge of Value Based Contracting
• Internal Aetna system knowledge a plus
• Understanding of Medicaid

What You Will Do

• Establishes and implements programs and innovative initiatives for the organization to advance Contract Negotiations initiatives
• Forecasts changes within the Contract Negotiations industry, conducts business impact assessments, and develops modification strategies with the aid of process improvement methodologies
• Designs systems to recruit providers in support of network expansion and adequacy targets
• Integrates cross-functional collaboration to contribute to provider compensation and pricing development activities and recommendations for negotiations and reimbursement modeling activities
• Determines recommendations to manage cost issues and support cost-saving initiatives and settlement activities
• Aids in the management of network development, maintenance, and refinement activities and strategies in support of cross-market network management units
• Coaches more junior colleagues in techniques, processes, and responsibilities

Pay Range

The Typical Pay Range For This Role Is $60,300.00 - $132,600.00 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.