Mgr,Contract Negotiation - job 3 of 3

As a Manager of Contract Negotiation at CVS Health, your primary responsibilities will include negotiating and executing contracts with larger and more complex providers, ensuring compliance with company policies during the contracting process, and managing existing provider relationships to maintain and enhance the network. You will also support health plan expansions and contribute to regulatory compliance efforts, all while focusing on high-level analysis and reporting.

To qualify for the Manager of Contract Negotiation role at CVS Health, you should have 3-5 years of experience in network contracting or management, with a strong background in negotiation and decision-making. A bachelor’s degree or equivalent professional experience is necessary, and familiarity with the managed care industry and behavioral health topics is a plus. Strong analytical, communication, and organizational skills are essential for success in this role.

Yes, CVS Health provides the opportunity to work remotely for the Manager of Contract Negotiation position. While candidates ideally reside in Virginia, Maryland, or Washington D.C., other East Coast states may also be considered, allowing you to balance professional commitments with your personal life from the comfort of your home.

Full-time employees at CVS Health, including those in the Manager of Contract Negotiation position, receive a comprehensive benefits package. This includes affordable medical options, a 401(k) with matching contributions, paid time off, family leave, and tuition assistance. Additional perks such as wellness programs and financial coaching reflect our commitment to the overall well-being of our colleagues.

The anticipated salary for the Manager of Contract Negotiation role at CVS Health ranges from approximately $54,300 to $159,120 annually. This range reflects the base pay for positions in the job grade and may vary based on your experience, education, and geographical location.

When approaching contract negotiations, it's essential to start with a clear understanding of both your company's goals and the needs of the provider. Establishing a collaborative dialogue is key, where you listen to their concerns while articulating your organization's requirements. Focus on building relationships and approaching negotiations as a way to create win-win outcomes, addressing any potential roadblocks with data and clear rationale.

In discussing your experience with value-based contract negotiations, highlight specific examples where you successfully implemented value-based mechanisms. Explain how you collaborated with stakeholders to define performance metrics and align incentives, and emphasize how these negotiations contributed to improved patient outcomes and cost efficiencies.

Maintaining strong provider relationships starts with effective communication and transparency. Regular check-ins and feedback sessions can help reinforce trust. Employing a proactive approach to address any concerns and demonstrating responsiveness ensures that providers feel valued and respected, ultimately leading to a stronger partnership.

Share examples of your experience conducting contract audits and ensuring compliance. Explain the processes you followed to review contracts, identify amendments, and ensure alignment with regulatory standards. Highlight any successful outcomes resulting from your oversight, such as reduced discrepancies and improved adherence to policies.

Prioritizing multiple contracting activities requires strong organizational skills and the ability to assess urgency and impact. I utilize project management tools to keep track of deadlines and milestones while actively communicating with team members to align priorities. Regularly reassessing workloads and adjusting based on emerging needs is also crucial for effective prioritization.

In addressing complex negotiation situations, provide a specific example where you faced challenges, such as conflicting interests or additional stakeholders. Detail how you approached the situation, the negotiation strategies you employed, and the eventual outcome. Highlight any creative solutions that helped break through stalemates.

In compensation models, I focus on aligning provider incentives with desired patient outcomes while ensuring financial sustainability for the organization. Key elements include understanding market benchmarks, evaluating cost-effectiveness, and establishing clear performance metrics. I also prioritize transparency in compensation structure to foster trust with providers.

Assessing network adequacy involves evaluating the geographic coverage, service availability, and the specialty mix of providers. During negotiations, I gather data on patient access patterns, analyze existing provider contracts, and engage with stakeholders to identify any gaps. This thorough analysis allows for informed discussions to ensure network adequacy and compliance with regulatory standards.

To gather data for financial analysis in contractual agreements, I employ various methods including leveraging internal systems to extract utilization data, market analysis to benchmark costs, and collaborating with finance teams for insights into financial projections. A comprehensive understanding of reporting tools also aids in validating the analysis conducted.

Handling conflicts during negotiations requires a balanced approach that prioritizes resolution while maintaining the relationship. I typically aim to identify the root cause of the conflict through active listening, then propose potential compromises or alternative solutions that address the concerns of both parties. Ensuring a collaborative environment fosters goodwill and enhances the likelihood of a positive outcome.