Negotiation Manager – Texas Medicaid

Contract Negotiation Manager – Texas Medicaid page is loaded## Contract Negotiation Manager – Texas Medicaid remote type:
Remote locations:
TX - Work from home:
Work At Home-Idaho:
Work At Home-Arkansas:
CT - Hartford:
Work At Home-Georgia time type:
Full time posted on:
Posted Todaytime left to apply:
End Date:
April 20, 2026 (30+ days left to apply) job requisition :
R0827575

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:

At Aetna Better Health of Texas, we are committed to helping people on their path to better health. By taking a total and connected approach to health, we guide and support our members so they can get more out of life, every day. We are looking for people like you who value excellence, integrity, caring and innovation. As an employee, you’ll join a team dedicated to improving the lives of Texas members.

We value diversity and are dedicated to helping you achieve your career goals.  In this Texas Medicaid individual contributor role, the Contract Negotiator will:  
• Negotiates competitive contracts with health care providers using pre-determined internal guidelines and financial standards.  
• Negotiates contract language in accordance with Aetna standards, engaging other departments as needed for review and approval of contract terms outside the standards.  
• Manages contract performance and works with various internal departments to address questions, issues, and activities related to execution, loading, and ongoing maintenance of provider contracts.  
• Manages relationships with key providers and ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information.  
• Negotiates settlements as needed. May recruit providers as needed to ensure network adequacy and achievement of network expansion goals. Maintains accountability for specific medical cost initiatives.  
• Required Qualifications  
• 5 to 7 years of experience negotiating contracts with ancillary providers, physician groups, and IPAs, including contract language, development, and analysis of rate proposals, identifying operational and financial improvement opportunities, and collection and analysis of data and key financial metrics.

• 5 to 7 years of working knowledge of contracting options, provider reimbursement methodologies and terms, and contract setup. Understanding of provider financial issues, industry standard payment policies, regulatory requirements, and competitor strategies.

• Must be proficient in Word, Excel, and Microsoft Office.

Preferred Qualifications  
• Medicaid contracting experience.  
• Proficiency in the QNXT application.
• Strong critical thinking, problem resolution, organization, communication, and interpersonal skills.

• Able to successfully manage multiple negotiations, issues, and other tasks to ensure completion and meet deadlines.

• Able to manage expectations and maintain strong relationships, both internally and externally.  
• Candidates should reside in Texas.

Education   
• Bachelor’s Degree or equivalent combination of education and professional work experience.
** Anticipated Weekly Hours
** 40
* * Time Type
** Full time
** Pay Range
** The typical pay range for this role is:$60,300.00 - $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.

Our people fuel our future. Our teams reflect the customers, patients,…