Senior Manager, Network Management Behavioral Health (Southern CA, MT)

Behavioral Health Contract Negotiator

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. We reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary :

Negotiates, executes, conducts high level review and analysis, dispute resolution and / or settlement negotiations of behavioral health facility and hospital contracts with larger and more complex, market / regional / national based group / system providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives.

Required Qualifications :

• 5+ years related experience and comprehensive level of negotiating skills with successful track record negotiating contracts, including fee schedules, with individual or complex provider systems or groups
• Focus on behavioral health providers and facility types
• Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial / contracting arrangements, and regulatory requirements
• Strong communication, critical thinking, problem resolution and interpersonal skills
• Experience in provider relations activities including claims issue resolution, adding new locations, general provider data maintenance and contract amendments

Preferred Qualifications :

Education :

Bachelor's Degree or equivalent combination of education and experience

Pay Range :

The typical pay range for this role is : $67,900.00 - $199,144.00

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, 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 :

We anticipate the application window for this opening will close on : 12 / 31 / 2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.