Atlanta, Georgia, USA
1 day ago
Senior Manager, Provider Contract Negotiation (Georgia)

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 Georgia Network Team, the ideal candidate will:

Develop and expand 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
 

5+ years of contract negotiation experience, working with healthcare providers, including hospitals, physicians, specialists and ancillary service providers.Must reside in GeorgiaAdept at problem solving and decision making skills, based on data and trends.Adept at collaboration and teamworkAddition 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


Preferred Qualifications
Experience serving as a coach/mentor to other network staff.
Masters Degree


Education
Bachelor's Degree preferred, or equivalent professional experience

Pay Range

The typical pay range for this role is:

$67,900.00 - $165,954.00


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: 03/31/2026

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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