Behavioral Health Sr. Network Manager

Behavioral Health Contract Negotiator

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. 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 facilities and 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.

Required Qualifications

Preferred Qualifications

Education

Bachelor's degree preferred or equivalent combination of education and professional work experience.

Pay Range

The typical pay range for this role is : $67,900.00 - $182,549.00

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 :

We anticipate the application window for this opening will close on : 12 / 27 / 2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.