Job DescriptionCVS Health has established a variety of programs and offerings to support and collaborate with health care providers, including physician groups, hospitals, Integrated Delivery Networks (IDNs), and Accountable Care Organizations (ACOs). The Advisor for Health System Contracting will be responsible for negotiating and processing certain contractual relationships with health care providers across the country. This position will report to the Senior Manager for Health System Contracting.
The position will be based at CVS Health’s corporate offices in Woonsocket, RI.
Major Responsibilities include the following:
- Negotiate enterprise agreements with health care providers across a variety of platforms including 340B, Clinical Collaborations, Home Infusion, Specialty Pharmacy Collaborations, ACO Outside Party Agreements as well as others.
- Work with internal assets to manage negotiations, including Legal, Finance, and Product Teams. Drive language edits needed to align with CVS Health strategy and team standard operating processes.
- Leverage internal assets to manage efficient negotiation turn around including prompt response to health care provider redlines and questions.
- Work with product development teams to develop dynamic contract solutions and structure for innovative programs and services as they become available.
∙Work with legal, finance, and other internal experts to ensure contractual compliance and minimize risk to the enterprise.
∙Create and maintain contract templates to ensure they are up-to-date and in line with current enterprise strategic efforts.
∙Work diligently and collaboratively with health care provider business and clinical leads to execute agreements.
∙Develop companion guides, standard operating processes and tools for the contracting team to streamline the negotiation process.
∙Maintain an accurate sense of the healthcare delivery market relative to CVS Health’s strategic goals. Keep informed of innovations and trends in integrated healthcare delivery, population health, competitor activities, and changes in healthcare regulatory requirements which could impact the viability of potential new business ventures and relationships.
∙Collaborate on internal market research projects to identify under-served markets and to recommend viable new opportunities, relationships, and programs.
∙Perform other duties as required.
Required Qualifications* 5+ years of contract negotiation experience with a focus on drafting and redlines.
* 5+ years of business and relationship development and strategic planning.
* 3+ years project management or related experience with a focus on driving a project forward to successful and timely conclusion.
Preferred Qualifications* Healthcare contracting with a focus
on population health, healthcare administration and Accountable Care
Organizations, is preferred.
EducationBachelor's degree is required; equivalent work experience may substitute. Business Overview
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.
CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW
and EEO IS THE LAW SUPPLEMENT
Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health
CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.
For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/