Network Ancillary Provider Contracting Manager

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.

Position Summary:
This is an individual contributor role. 
The Contract Manager will support the National Ancillary Contracting Team focused on National Laboratory contracting and other Network requests as assigned.

This position is responsible for completing negotiations and re negotiations, as well as executing provider contracts in alignment with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals. 

What will you do: 
•    Provider contracting, including mastery of contracting methodologies, Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines, system loads, and provider configuration processes.
•    Contracting with laboratories on a national scale and a strong understanding of competitor strategies, industry practices, and financial/contracting arrangements.
•    Contract Negotiation to build positive provider relationships that support network growth and market competitiveness.
•    Identify and leverage market opportunities to support program delivery.
•    Analyze, identify, and report meaningful changes in network adequacy for applicable Commercial and Medicare products.
•    Collaborate effectively across internal business units to achieve departmental and corporate goals.

Required Qualifications:

•    5+ years of hands on experience in healthcare provider contracting, including negotiating reimbursement terms, evaluating contracting options, and applying Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines to ensure alignment with organizational strategy and regulatory requirements. 
•    5+ years of experience in navigating complex provider contract structures, conducting rate and term analyses, and collaborating with cross functional teams to finalize agreements. Experienced in system loads and provider configuration processes, ensuring contract terms are accurately built, validated, and implemented across internal platforms to support clean claim adjudication and operational efficiency.
•    2–3 years of experience and in depth knowledge of the managed care industry, including a strong understanding of competitor strategies, industry practices, and financial/contracting arrangements. Specific experience in national laboratory contracting is required. 

Preferred Qualifications:
•    Strong written and verbal communication skills, with the ability to identify and capitalize on marketing opportunities to support effective program delivery.

•    Strong attention to detail, with the ability to analyze, identify, and report significant changes in network adequacy across Commercial, High Performance Plan, and Medicare products. Demonstrated ability to collaborate effectively with multiple internal business areas to support organizational goals.
•    Proficiency in Microsoft Excel and the full Microsoft Office Suite.
  

Education:
•    Bachelor’s degree preferred, or a combination of relevant professional experience and education.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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.

Additional details about available benefits are provided during the application process and on Benefits Moments.

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