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.
Position Summary:
This is an individual contributor role.
The Contract Manager will support the National Ancillary Contracting Team focused on National Laboratory contracting and other Network requests as assigned.
This position is responsible for completing negotiations and re negotiations, as well as executing provider contracts in alignment with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals.
What will you do:
• Provider contracting, including mastery of contracting methodologies, Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines, system loads, and provider configuration processes.
• Contracting with laboratories on a national scale and a strong understanding of competitor strategies, industry practices, and financial/contracting arrangements.
• Contract Negotiation to build positive provider relationships that support network growth and market competitiveness.
• Identify and leverage market opportunities to support program delivery.
• Analyze, identify, and report meaningful changes in network adequacy for applicable Commercial and Medicare products.
• Collaborate effectively across internal business units to achieve departmental and corporate goals.
Required Qualifications:
• 5+ years of hands on experience in healthcare provider contracting, including negotiating reimbursement terms, evaluating contracting options, and applying Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines to ensure alignment with organizational strategy and regulatory requirements.
• 5+ years of experience in navigating complex provider contract structures, conducting rate and term analyses, and collaborating with cross functional teams to finalize agreements. Experienced in system loads and provider configuration processes, ensuring contract terms are accurately built, validated, and implemented across internal platforms to support clean claim adjudication and operational efficiency.
• 2–3 years of experience and in depth knowledge of the managed care industry, including a strong understanding of competitor strategies, industry practices, and financial/contracting arrangements. Specific experience in national laboratory contracting is required.
Preferred Qualifications:
• Strong written and verbal communication skills, with the ability to identify and capitalize on marketing opportunities to support effective program delivery.
• Strong attention to detail, with the ability to analyze, identify, and report significant changes in network adequacy across Commercial, High Performance Plan, and Medicare products. Demonstrated ability to collaborate effectively with multiple internal business areas to support organizational goals.
• Proficiency in Microsoft Excel and the full Microsoft Office Suite.
Education:
• Bachelor’s degree preferred, or a combination of relevant professional experience and education.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$60,300.00 - $132,600.00This 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.
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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CVS Health and has not been reviewed or approved by CVS Health.
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Healthcare Strength — Healthcare coverage is positioned as comprehensive for benefits-eligible colleagues, including medical, dental, and vision with free preventive care and access to virtual care and select no-cost MinuteClinic services. Mental health support is also highlighted with no-cost confidential counseling sessions per issue.
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Retirement Support — Retirement benefits include a 401(k) with a dollar-for-dollar match up to 5% after meeting service and hours requirements. Ownership programs are also offered through an employee stock purchase plan with a stated purchase discount.
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Pay Growth & Progression — A companywide minimum wage floor establishes a baseline that is framed as a positive starting point in some roles and markets. Unionized or high-cost areas are described as having clearer wage scales and step-ups that can materially lift pay over time.
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What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
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