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 :

Pay Range :

The typical pay range for this role is : $67,900.00 - $182,549.00. 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. This position also includes an award target in the company's equity award program.

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 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.