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 position can be located in Kansas, Illinois or Missouri.**
The Senior Manager will manage the strategy development and execution of Contracts with providers and delivery systems to participate in Aetna managed care networks. Work will include, but not be limited to active negotiations, vbc engagement, execution of contract activities, strategy development, relationship management, dispute resolution and other duties as related to network activity. Direct provider engagement will include larger and more complex, market/regional groups/systems, and facilities, in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives.
Coordination of activities will involve external constituents, provider partners and internal cross-functional teams (Sales, PDS, Claims, PDS, etc).
Contract Management: Initiate, coordinate, and own the contracting activities to fulfillment, including receipt and processing of contracts and documentation. Conduct pre- and post-signature review of contracts and language modifications according to established policies.
Auditing and Loading: Responsible for auditing, building, and loading contracts, agreements, amendments, and fee schedules in contract management systems per established policies. This will include multiple systems, primarily SCM.
Research and Analysis: Conduct research, analysis, and audits to identify issues and propose solutions to protect data, contract integrity, and performance.
Contract Performance Management: Manage contract performance and support the development and implementation of value-based contract relationships in alignment with business strategies
Cross-Functional Collaboration: Collaborate cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and review and analysis of reports as part of negotiation and reimbursement modeling activities. Assist with strategy development and facilitate activities as required to assist contingent worker activities.
Subject Matter Expertise: Provide expert support for questions related to recruitment initiatives, contracting, provider issues/resolutions, related systems, and information contained. Share expertise and guidance with team members.
Value-Based Contracting: Understand and manage value-based contracting and negotiations, as warranted.
Project Management: Manage high-level projects and initiatives with inter-departmental resources and cross-functional stakeholders.
Provider Meetings: Coordinate and participate in provider-facing meetings, including but not limited to Joint Operating Committee meetings, if warranted.
Operational Support: Assist with operational activities such as database management and contract coordination.
Data Management: Organize and transform information into comprehensible structures. Use data to predict trends in the customer base and the consumer population. Perform statistical analysis of data and visualize data in easy-to-understand formats, such as diagrams and graphs. Prepare reports and present findings to leadership.
Provider Engagement: Engage with providers and efficiently move them through contracting processes in order to maintain robust network adequacy requirements.
Required Qualifications
Minimum 5 years related experience and comprehensive level of negotiating managed care contracts with individuals, complex provider systems, etc.
Proven working knowledge of healthcare related provider financial issues and competitor strategies, large/complex contracting options, financial/contracting arrangements, and regulatory requirements
Strong skills focused on communication, negotiations, critical thinking, problem resolution, competitor strategies
Highly effective in WAH environment and proficient with MS Office (experienced with pivot tables, v-lookup, etc)
**This position can be located in Kansas, Illinois or Missouri.**
Preferred Qualifications
Solid decision-making skills while executing national, regional, and market-level strategies
Experience in negotiating managed care (including vbc) contract terms across the full spectrum of provider types
Proficient with Aetna internal systems specific to contracting (SCM)
Education
Bachelor’s Degree preferred or equivalent combination of education and professional work experience.
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.
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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 03/04/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Top Skills
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.
