Manager, Payor Relations & Contracting, at CVS Health

, , United States -

Full Time

Start Date

Immediate

Expiry Date

02 Jan, 26

Salary

119340.0

Posted On

04 Oct, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider Contracts, Payment Strategies, Collaboration, Problem Solving, Healthcare Landscape, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Critical Thinking, Interpersonal Skills, Communication Skills, Negotiation, Financial Analysis, Network Development, Mentoring

Industry

Hospitals and Health Care

Description

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 health solutions company, 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 The Manager of Payor Relations & Contracting will build and maintains strategic relationships with physician partners in the northern Ohio market. In addition to managing these relationships. As the Manager you will develop, review, analyze, and execute provider contracts. You will ensure proper implementation of negotiated agreements and monitor contract performance to align with accessibility, compliance, quality, financial, and cost objectives. Position Summary Lead the development and execution of innovative programs to advance contract negotiation initiatives across the organization. Anticipate industry changes, evaluate their impact, and formulate strategic responses. Design and implement systems to recruit providers, supporting network expansion and adequacy goals. Conduct competitive analyses to inform reimbursement strategies. Foster cross-functional collaboration to enhance provider compensation methodologies and analyze financial impacts of reimbursement models. Recommend strategies to address cost challenges and drive cost-saving initiatives and settlement activities. Support network development, maintenance, and optimization to achieve company and market objectives. Mentor colleagues on best practices, processes, and responsibilities to strengthen team capabilities. Required Qualifications Demonstrated expertise in provider contracts and payment strategies. Strong ability to collaborate and solve problems with internal and external stakeholders. 3–5 years of experience in provider contracting. Comprehensive understanding of Ohio’s healthcare landscape. Proficiency in Microsoft Word, Excel, and PowerPoint Preferred Qualifications .Experience with Aetna systems. Exceptional written and verbal communication skills, particularly with external stakeholders. Strong critical thinking, problem-solving, and interpersonal skills. Education Bachelor’s degree or equivalent work experience. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,300.00 - $119,340.00 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: 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. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 10/10/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

Responsibilities

The Manager of Payor Relations & Contracting will build and maintain strategic relationships with physician partners in the northern Ohio market. This role involves developing, reviewing, analyzing, and executing provider contracts while ensuring proper implementation and monitoring contract performance.