Talent.com
Contract Negotiation Manager - Behavioral Health
Contract Negotiation Manager - Behavioral HealthCVS Health • Columbia, SC, US
[error_messages.no_longer_accepting]
Contract Negotiation Manager - Behavioral Health

Contract Negotiation Manager - Behavioral Health

CVS Health • Columbia, SC, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Behavioral Health Contract Negotiator

Join Aetnas Network Management team as a Behavioral Health Contract Negotiator and play a key role in building and maintaining a high-performing provider network. Youll leverage your negotiation skills and analytical expertise to secure competitive contracts, support value-based care initiatives, and drive positive outcomes for our members and partners.

Key Responsibilities :

  • Negotiate competitive contracts with behavioral healthcare providers, ensuring alignment with internal guidelines and financial standards.
  • Draft and review contract language, collaborating with cross-functional teams for non-standard terms.
  • Conduct financial and competitive analyses to achieve best-in-market discounts and meet financial targets.
  • Manage contract performance and coordinate with internal departments to resolve issues related to contract execution, loading, and ongoing maintenance.
  • Support the implementation of value-based contracts in line with business strategies.
  • Build and maintain strong relationships with key providers, ensuring timely resolution of escalated issues such as claims, contract interpretation, and provider data accuracy.
  • Negotiate settlements and recruit providers as needed to ensure network adequacy and support expansion goals.
  • Maintain accountability for specific medical cost initiatives.

Required Qualifications :

  • 4+ years of provider contracting and relationship experience, including contract language, rate proposals, and financial analysis.
  • Proficiency in Microsoft Word, Excel, and Office Suite.
  • Demonstrated ability to use competitive and financial data to negotiate favorable contracts.
  • Ability to travel up to 10% of the time in assigned territory.
  • Preferred Qualifications :

  • Strong critical thinking, problem-solving, organizational, communication, and interpersonal skills.
  • Behavioral Health contracting experience is preferred.
  • Ability to manage multiple negotiations and tasks simultaneously, meeting deadlines and maintaining strong relationships internally and externally.
  • Experience with value-based contract negotiation or management is a plus.
  • Candidates residing in the Central region and Central or Mountain time zones are preferred.
  • Education :

    Bachelors degree or equivalent combination of education and professional experience.

    Anticipated Weekly Hours : 40

    Time Type : Full time

    Pay Range : The typical pay range for this role is : $66,330.00 - $145,860.00

    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.

    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.
  • We anticipate the application window for this opening will close on : 12 / 05 / 2025

    Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

    [job_alerts.create_a_job]

    Manager Behavioral Health • Columbia, SC, US

    [internal_linking.related_jobs]
    Manager Rebate Contract Management

    Manager Rebate Contract Management

    VirtualVocations • Columbia, South Carolina, United States
    [job_card.full_time]
    A company is looking for a Manager of Rebate Contract Management - Remote.Key Responsibilities Oversee contracting, rate generation, reporting, and deliverables for State Medicaid supplemental re...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Physical Therapist Home Health ($10k Sign-on Bonus!)

    Physical Therapist Home Health ($10k Sign-on Bonus!)

    Interim HealthCare • North, SC, US
    [job_card.full_time] +1
    Fulltime Days, 8 : 30am-5 : 00pm Monday-Friday.Discover a new lane in therapy where treatments are personal and outcomes are optimal. As a Home Health Physical Therapist, you’ll help patients rega...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    District Manager - Life / Health Licensed | Build Leaders. Grow Your Business. Create Financial Freedom.

    District Manager - Life / Health Licensed | Build Leaders. Grow Your Business. Create Financial Freedom.

    InsuranceJobs.com • Columbia, South Carolina, United States
    [job_card.full_time]
    At Optavise, leadership is about creating opportunities for yourself and the people you develop.As a District Manager, you’ll have the freedom to grow your business, mentor new agents, and cr...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Customs and Border Protection Officer

    Customs and Border Protection Officer

    U.S. Customs and Border Protection • Blythewood, South Carolina, US
    [job_card.full_time] +1
    Customs and Border Protection Officer (CBPO).A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible.Customs an...[show_more]
    [last_updated.last_updated_30] • [promoted]
    A Facility in South Carolina Is Seeking a Locums CRNA

    A Facility in South Carolina Is Seeking a Locums CRNA

    HealthEcareers - Client • North Western, SC, USA
    [job_card.full_time]
    Get in touch with a Weatherby consultant today to learn more about this and other opportunities available now.On-call once per week taken from home. General and regional anesthesia with pain managem...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Provider Contract Negotiation Manager (North Carolina)

    Provider Contract Negotiation Manager (North Carolina)

    South Carolina Staffing • Columbia, SC, US
    [job_card.full_time]
    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.As the nation's leading h...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Contract Manager - Tactical

    Contract Manager - Tactical

    Veterans Staffing • Columbia, SC, US
    [job_card.full_time]
    We are igniting business growth by connecting people, data and applications quickly, securely, and effortlessly.Together, we are building a culture and company from the people up committed to tea...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Restaurant Delivery - Sign Up in Minutes

    Restaurant Delivery - Sign Up in Minutes

    DoorDash • Swansea, SC, United States
    [job_card.full_time] +1
    DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety o...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Family Medicine

    Family Medicine

    CompHealth • Columbia, South Carolina, US
    [job_card.full_time] +1
    Family Medicine physician employment in South Carolina : Though your CompHealth recruiter will be your single point of contact, they are backed by dozens of specialized teams, giving them the abili...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Clinical Manager

    Clinical Manager

    Talent Edge Recruiting • Columbia, SC, US
    [job_card.full_time] +1
    We’re seeking a compassionate and experienced.In this leadership role, you’ll oversee the coordination and delivery of healthcare services across residential and day programs that suppo...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Independent Contractor - Clinical Trials Strategic Partnerships Manager

    Independent Contractor - Clinical Trials Strategic Partnerships Manager

    Cardiovascular Associates of America • Columbia, SC, US
    [job_card.full_time]
    Independent Contractor (1099) - Clinical Trials Strategic Partnerships Manager - Business Development.Location : Remote with travel to sponsor meetings and CVAUSA practices.Organization : Cardiovascu...[show_more]
    [last_updated.last_updated_30] • [promoted]
    CRNA Is Wanted for Locums Coverage in SC

    CRNA Is Wanted for Locums Coverage in SC

    HealthEcareers - Client • North Western, SC, USA
    [job_card.full_time]
    If you are seeking a new opportunity or would simply like to learn more about locum tenens, give Weatherby a call today for details. On-call once per week taken from home.General, regional, and pain...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Contract Manager

    Contract Manager

    VirtualVocations • Columbia, South Carolina, United States
    [job_card.full_time]
    A company is looking for a Contract Manager.Key Responsibilities Support contract management teams across various projects and accounts to ensure compliance and efficiency Collaborate with accou...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Sign-On Bonus - Rheumatology Opportunity - Established Practice in Columbia, SC

    Sign-On Bonus - Rheumatology Opportunity - Established Practice in Columbia, SC

    Lexington Health, Inc. • West Columbia, US
    [job_card.full_time]
    Network of Care, is seeking a fellowship trained rheumatologist to join our team of four providers.Lexington Rheumatology, located on the Medical Center’s main campus, provides a full range of comp...[show_more]
    [last_updated.last_updated_30] • [promoted]
    NP - Family Medicine

    NP - Family Medicine

    CHRISTUS Health • Winnsboro, US
    [job_card.full_time]
    Family Medicine NP- Winnsboro, TX- CHRISTUS Health.Physician-Led Organization : Clinicians have a seat at the table through our Physician Board of Directors. AI-Enabled Documentation Support : We use ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Safety Manager

    Safety Manager

    HITT Contracting • Blythewood, SC, US
    [job_card.full_time]
    Every day, our team members do amazing things in pursuit of our shared purpose to build trust with our clients, partners, subcontractors, and teammates. No matter your background, education, or care...[show_more]
    [last_updated.last_updated_30] • [promoted]
    LMHC (Remote)

    LMHC (Remote)

    Headway • South Carolina, US
    [filters.remote]
    [job_card.full_time]
    Licensed Mental Health Counselor (LMHC).Wage : Between $95-$122 an hour.Licensed Mental Health Counselor — Are you ready to launch or expand your private practice?. Headway is here to help you start ...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    U.S. Customs and Border Protection Officer

    U.S. Customs and Border Protection Officer

    U.S. Customs and Border Protection • Blythewood, South Carolina, US
    [job_card.full_time] +1
    Customs and Border Protection Officer (CBPO).A high number of candidates may make applications for this position, so make sure to send your CV and application through as soon as possible.Customs an...[show_more]
    [last_updated.last_updated_30] • [promoted]