Contract Negotiation Manager - PA, DE, NY, NJ, MD, or Washington, DC

Position Summary Negotiate, execute, and conduct high-level review and analysis of dispute resolution and settlement negotiations of contracts with large, complex, and national group/system providers to maintain and enhance provider networks while meeting accessibility, quality, and financial goals. Recruit providers as needed to achieve network expansion goals and regulatory or internal adequacy targets. Support health plan expansion initiatives and other contracting activities as required. Initiate, coordinate, and own contracting activities through fulfillment, including receipt and processing of contracts, pre- and post-signature review, and language modification per company policies. Audit, build, and load contracts, agreements, amendments, and fee schedules into contract management systems per established policies. Collaborate cross-functionally to manage provider compensation, pricing development, and submission of contractual information, as well as to review and analyze reports for negotiation and reimbursement modeling. Provide subject‑matter expertise on recruitment initiatives, contracting, provider issues/resolutions, and related systems. Apply understanding of value‑based contracting and negotiations. Prepare reports and present findings to Network Management leadership. Engage with providers and expedite contracting processes to meet network adequacy standards. Required Qualifications 5+ years of experience in healthcare network contracting and provider relationship management. 3–5 years of solid negotiating and complex decision‑making skills while executing national, regional, or market level strategies. Demonstrated knowledge of the managed care industry, including reimbursement models, regulatory requirements, and contracting best practices. Working knowledge of behavioral health topics related to managed care plans. Advanced proficiency in Microsoft Office Suite, particularly Excel for data analysis, modeling, and reporting, and PowerPoint for executive presentations. Proven ability to build and maintain collaborative provider relationships and partner cross‑functionally to resolve complex contract or network issues, with examples of successful issue resolution or stakeholder alignment. Bachelor’s degree or equivalent professional work experience. Residency requirement: candidates must reside in PA, DE, NY, NJ, MD, or Washington, DC. Preferred Qualifications Health plan experience supporting behavioral health provider networks. General knowledge of reporting tools for contract financial analysis and modeling. Demonstrated decision‑making skills while executing national, regional, and market level strategies. Strong critical thinking, issue resolution, interpersonal, and problem‑solving abilities. Excellent interpersonal and communication skills, including the ability to convey complex information clearly both verbally and in writing to diverse stakeholders. Pay & Benefits The typical pay range for this role is $66,330.00 – $145,860.00; the actual base salary offer will vary based on 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. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of employees and their families. Benefits include medical, dental, and vision coverage; paid time off; retirement savings options; wellness programs; and additional resources. EEO Statement Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws. #J-18808-Ljbffr 4062 Aetna Resources, LLC