Negotiation Manager - Illinois
Listed on 2026-07-29
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Business
Regulatory Compliance Specialist
Contract Negotiation Manager
We’re building a world of health around every individual at CVS Health®. This individual‑contributor role focuses on strengthening our provider network through contract negotiation and relationship management.
Key Responsibilities- Lead end‑to‑end contract negotiations, execution, and analysis with ancillary providers, physician groups and smaller/local systems.
- Manage contract performance and drive the development and implementation of value‑based arrangements aligned with organizational strategy.
- Identify, recruit, and onboard providers to meet network expansion and adequacy targets; deliver competitive and sustainable cost arrangements.
- Partner cross‑functionally to support provider compensation strategy, pricing development, and reimbursement modeling.
- Analyze financial and operational data to identify cost‑saving opportunities and execute initiatives that drive measurable impact.
- Serve as a key representative of the organization with providers, customers and community stakeholders, strengthening partnerships and collaboration.
- Evaluate and contribute to provider network strategy, ensuring alignment with state requirements, product needs, and cost management objectives.
- Optimize provider engagement and resolve complex escalations related to claims, contract interpretation, and provider data accuracy.
- 5+ years negotiating contracts with ancillary providers, facilities and physician groups.
- Demonstrated ability to leverage competitive market data, financial metrics and detailed analysis to secure favorable contract outcomes.
- 3+ years of provider relationship management or related healthcare roles.
- Strong knowledge of provider reimbursement methodologies, contract structures and industry‑standard payment policies and practices.
- Solid understanding of provider financial drivers, regulatory requirements and competitive market dynamics.
- Advanced proficiency in Microsoft Office applications.
- Proven ability to build and maintain collaborative relationships with providers while partnering cross‑functionally to resolve complex contract issues.
- Highly organized with strong prioritization skills; able to manage multiple negotiations and competing priorities while meeting deadlines.
- Candidates must reside in the state of Illinois.
- Experience with Commercial and Medicare lines of business.
- Bachelor’s degree preferred or a combination of professional work experience and education.
Must reside in Illinois. Anticipated weekly hours 40, full‑time.
CompensationPay range $66,330.00 – $, based on experience, education and geography. Eligible for bonus, commission or short‑term incentive programs.
BenefitsEligible for a comprehensive benefits package including medical, dental and vision coverage, paid time off, retirement savings options, wellness programs and other resources.
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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