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.
Job Summary
Constructs negotiation, execution, review, and analysis of contracts. Delivers dispute resolution and settlement negotiations with providers. Ensures contract performance aligns with accessibility, compliance, quality, financial, and cost goals.
What you will do
Establishes and implements programs and innovative initiatives for the organization to advance Contract Negotiations initiatives.
Forecasts changes within the Contract Negotiations industry, conducts business impact assessments, and develops modification strategies with the aid of process improvement methodologies.
Designs systems to recruit providers in support of network expansion and adequacy targets.
Integrates cross-functional collaboration to contribute to provider compensation and pricing development activities and recommendations for negotiations and reimbursement modeling activities.
Determines recommendations to manage cost issues and support cost-saving initiatives and settlement activities.
Assists in the management of network development, maintenance, and refinement activities and strategies in support of cross-market network management units.
Coaches more junior colleagues in techniques, processes, and responsibilities.
Required Qualifications
5+ years experience in a provider relations, contracting or managed care environment
Critical thinking to maintain cost management and a fully engaged network of participating PCP or specialists.
Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements.
Microsoft Office/Excel proficient
Must reside in the state of Michigan and be able to travel in the state (up to 10-15%) as needed (Michigan).
Preferred Qualifications
Strong communication, critical thinking, problem resolution and interpersonal skills.
Understanding knowledge of Value Based Contracting.
Internal Aetna system knowledge a plus.
Understanding of Medicaid.
Education
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$60,300.00 - $132,600.00
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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 08/31/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
