Senior Provider Network Contracting (IL/MO)

Position Summary

Negotiates, executes, and analyzes contracts with larger and more complex healthcare group/system providers, focusing on maintaining and enhancing the provider network while meeting accessibility, quality, and financial goals. Handles dispute resolution and settlement negotiations, ensuring compliance with company standards and regulatory requirements. Leverages extensive negotiation skills and working knowledge of provider financial issues to optimize contracts, and collaborates with large hospitals and health systems to achieve successful contracting outcomes, all while supporting cost-saving initiatives and the growth of the provider network.

Required Qualifications

• A minimum 7 years of experience contracting with providers within the healthcare industry.
• A minimum 5 years of direct hospital contracting experience.
• Experience with Commercial, Medicare, and Medicaid lines of business.
• Adept at problem solving and decision making skills, based on data and trends.
• Adept at collaboration and teamwork.
• Addition skills include a growth mindset (agility and developing yourself and others) skills; execution and delivery (planning, delivering, and supporting) skills; business intelligence and communication skills across multiple levels of leadership.
• Ability to travel within assigned territory if needed.

Preferred Qualifications

• Strong understanding of the IL and MO market, including local payer and provider dynamics.
• Hands-on experience with value-based contracting and alternative payment arrangements.

Education

Bachelor's degree or a combination of professional work experience and education.

Pay Range

The Typical Pay Range For This Role Is $67,900.00 - $182,549.00 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.

Additional Information

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great Benefits For Great People We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

Application Information

We anticipate the application window for this opening will close on: 08/22/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.