[Hiring] Behavioral Health Contract Negotiation Manager @CVS Health

Role Description

This is an individual contributor role.

Join Aetna's Network Management team as a Behavioral Health Contract Negotiator and play a key role in building and maintaining a high-performing provider network. You'll 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.

Qualifications

• 5+ years of provider contracting and relationship experience, including contract language, rate proposals, and financial analysis.
• Strong proficiency in Microsoft Office Suite, including Excel, Word, and PowerPoint.
• Demonstrated ability to use competitive and financial data to negotiate favorable contracts.

Requirements

• Experience in Behavioral Health Contracting, Provider Network Management, or Behavioral Health Operations.
• Strong critical thinking, problem-solving, organizational, communication, and interpersonal skills.
• Ability to manage multiple negotiations and tasks simultaneously, meeting deadlines and maintaining strong relationships both externally and internally.
• Strong preference for candidates residing in the Central Region states, including Illinois, Colorado, Indiana, Iowa, Kansas, Kentucky, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, or Wisconsin.

Education

• Bachelor's degree, or equivalent combination of education and professional experience.

Benefits

• 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.