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
As a part of the Northwest Network Team, the ideal candidate will:
Develop and expand the network and maintain the network, identifying and contracting with healthcare providers, including hospitals, physicians, specialists, and ancillary service providers.
Conduct market analysis, assess competitive positioning, and recommend strategies to maintain a competitive edge.
Interface with the finance team on budgeting, cost analysis, and financial forecasting, to manage the financial aspects of provider network management.
Consult with internal teams, including medical directors, operations managers, and other network development professionals, to align provider network performance goals and objectives.
Provide continuous recommendations to senior leadership to guide decision-making and ensure close alignment with the organization's strategic goals and objectives.
Manage provider contract performance and supports the development and implementation of strategic, value-based contract relationships.
Apply highly-developed knowledge to negotiate Network contracts with healthcare providers, establishing reimbursement rates, service agreements, and performance metrics.
Advise on provider performance, network adequacy, geographical coverage, and member satisfaction, and makes necessary network modifications or expansions.
Implement improvement initiatives to ensure that network providers meet all applicable regulatory requirements and quality standards.
This role will manage key and critical network relationships.
Required Qualifications
- 7+ years of contract negotiation experience, working with healthcare providers, including hospitals, physicians, specialists and ancillary service providers.
- Experience with Commercial and Medicare lines of businesses.
- 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
- Experience serving as a coach/mentor to other network staff.
- Preferred Locations: Washington, Oregon, Idaho or Alaska
Education
Bachelor's Degree preferred, or equivalent professional experience
Pay Range
The typical pay range for this role is:
$82,940.00 - $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.
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.
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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.
