Description

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:

Do you want to make a large impact in your next role? Join Aetna/CVS Health, as the Network Management Senior Manager. In this role, you will manage contract performance and support the development and implementation of strategic and value-based relationships across national and innovative providers of behavioral healthcare. You will be asked to innovate on novel and industry leading value-based contracts, conduct high-level reviews and analysis, and manage dispute resolution and settlement negotiations of contracts, with large and complex, national, behavioral health groups and facility providers.

**Role is for national behavioral health contracting and strategic partnerships

Key deliverables in this role include:

• Responsible for building a quality-driven Autism Spectrum Disorder (ASD) provider network, identifying medical and behavioral health cost trends and collaborating cross functionally to execute significant cost-saving initiatives
• Represents company with high visibility constituents, including customers and community groups. Promotes collaboration with internal partners
• Evaluates, formulates, and implements provider network strategic plans to improve Member outcomes and manage medical costs
• Guides development of holistic solutions or strategic plans for negotiating and executing Autism provider contracts within the national market, largest groups and highest value/volume of spend providers with significant financial implications
• Manages the performance of Autism providers within the network and drives the development and implementation of value-based contract (VBC) solutions related to Autism in support of business strategies.
• Recruits Applied Behavior Analysis (ABA), Speech Therapy (ST/SLP), Occupational Therapy (OT), and other behavioral health and medical provider partners as needed to ensure attainment of a quality and cost-effective Autism provider network
• Collaborates cross-functionally to manage provider quality measures that drive value, pricing development activities, submission of contractual information,
• Collaborates with internal partners to assess network performance and claims analysis in improving Member outcomes and managing costs. May optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure network quality and adequacy needs are met

*Position may be either remote or hybrid depending on location.

Required Qualifications:

• Commercial contracting knowledge.
• Minimum 7+ years related experience, proven and proficient managed care network negotiating skills.
• Minimum 3+ years contracting for large facilities or provider groups.
• Proven working knowledge of competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements.
• Cross-functional initiative planning and execution oversight for highly complex and matrixed initiatives
• Adept at developing financial analysis, presentations, and support material to successfully inform and engage leadership stakeholders in solution design and execution
• Experience working in the health plan or health care industry with exposure across network management, provider partnerships, and clinical operations

Preferred Qualifications:

• Proven working knowledge and/or direct experience in Autism health services, network performance, and contracting solutions.
• Experience in evaluation of cost analysis, quality care, and healthcare outcomes reporting.
• Must be well versed with the Autism behavioral health provider national market.
• Comfortable with drafting persuasive decks and PP presentations

Education:

• Bachelor's degree preferred or a combination of education and work experience.

Pay Range

The typical pay range for this role is:

$67,900.00 - $199,144.00

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:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 04/18/2026

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