Provider Contracting Professional Jobs

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. As a Contract Negotiation Manager, you will play a critical role in shaping and strengthening our provider network. You will lead contract negotiations, manage provider relationships, and identify strategic opportunities to enhance access, quality, compliance, and cost efficiency. This role partners across the organization to deliver value-based contracting strategies that support business goals and improve overall network performance. What You’ll Do This is an individual contributor role. Manages contract performance, and drives the development and implementation contract relationships in support of business strategies. Recruits providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within defined groups. Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. Responsible for identifying and managing cost issues and collaborating cross functionally to execute significant cost saving initiatives. Represents company with providers, groups and health systems. Promotes collaboration with internal partners. Evaluates, helps formulate, and implements the pro

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: The Dental Network Relations Senior Analyst, is the liaison between Aetna and an assigned group of DSOs. This role acts as a resource for all dental products (DHMO, PPO, Medicare) to DSO leadership and staff, providers, sales, and marketing to aid in the achievement of Aetna Key Performance Measures. This person serves as a subject matter expert, demonstrating a strong understanding of Aetna’s Dental Products and market position. The Senior Analyst negotiates provider contract language and compensation. This role is also responsible to work cross functionally to resolve provider concerns, document resolution, and effectively communicate to all parties. Responsible for account management of DSOs and large dental groups to support network strategic initiatives. Negotiates contracts at all organizational levels. Strong emphasis on analysis to develop cost-of-care strategy. Solid focus on data analytics to identify cost savings opportunities Collaborates cross-functionally to resolve provider issues with the utmost urgency. Recruits providers as needed to attain network expansion and meet access needs. Communicates early warning signs of potential issues/risks to management. Required Qualifications: 2+ years of experience in provider relations, network management, healthcare contracting, dental insurance, o

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: The Dental Network Relations Senior Analyst, is the liaison between Aetna and an assigned group of DSOs. This role acts as a resource for all dental products (DHMO, PPO, Medicare) to DSO leadership and staff, providers, sales, and marketing to aid in the achievement of Aetna Key Performance Measures. This person serves as a subject matter expert, demonstrating a strong understanding of Aetna’s Dental Products and market position. The Senior Analyst negotiates provider contract language and compensation. This role is also responsible to work cross functionally to resolve provider concerns, document resolution, and effectively communicate to all parties. Responsible for account management of DSOs and large dental groups to support network strategic initiatives. Negotiates contracts at all organizational levels. Strong emphasis on analysis to develop cost-of-care strategy. Solid focus on data analytics to identify cost savings opportunities Collaborates cross-functionally to resolve provider issues with the utmost urgency. Recruits providers as needed to attain network expansion and meet access needs. Communicates early warning signs of potential issues/risks to management. Required Qualifications: 2+ years of experience in provider relations, network management, healthcare contracting, dental insurance, o

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: The Dental Network Relations Senior Analyst, is the liaison between Aetna and an assigned group of DSOs. This role acts as a resource for all dental products (DHMO, PPO, Medicare) to DSO leadership and staff, providers, sales, and marketing to aid in the achievement of Aetna Key Performance Measures. This person serves as a subject matter expert, demonstrating a strong understanding of Aetna’s Dental Products and market position. The Senior Analyst negotiates provider contract language and compensation. This role is also responsible to work cross functionally to resolve provider concerns, document resolution, and effectively communicate to all parties. Responsible for account management of DSOs and large dental groups to support network strategic initiatives. Negotiates contracts at all organizational levels. Strong emphasis on analysis to develop cost-of-care strategy. Solid focus on data analytics to identify cost savings opportunities Collaborates cross-functionally to resolve provider issues with the utmost urgency. Recruits providers as needed to attain network expansion and meet access needs. Communicates early warning signs of potential issues/risks to management. Required Qualifications: 2+ years of experience in provider relations, network management, healthcare contracting, dental insura

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 : This is an individual contributor role. The Contract Manager serves as the subject matter expert in support of contracting initiatives and data audits to enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals. Responsible for reviewing, building and auditing complex contract and network data, support recruitment efforts, and collaborating on negotiations as needed. Role/Responsibilities Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, or local providers, including SCAs, LOAs, and PPAs. Manages contract performance in support of network quality, availability, and financial goals and strategies. Recruits providers to ensure attainment of network expansion and adequacy targets. Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. Responsible for identifying and making recommendations to manage cost issues and supporting cost saving initiatives and/or settlement activities. Provides network development, maintenance, and refinement activities and strategies in sup

Become a part of our caring community The Market Finance Lead is a key member of the Gulf South Region’s finance team responsible for connecting market financial performance with operational effectiveness. This role will partner closely with Corporate Finance, Network Performance, Network Contracting, and regional Health Services teams. This individual will manage a team covering a diverse set of responsibilities around Medicare Advantage financial business operations with a heavy focus on value-based providers. This role reports to the Market Finance Director. This role analyzes financial results, claims experience, utilization trends, contract performance, membership, and provider performance data to identify opportunities, influence business decisions, and support market growth and operational improvement. The Market Finance Lead will partner closely with regional leadership, actuarial, corporate finance, clinical, risk adjustment, market operations, network performance, network contracting, sales/MarketPoint, and value-based care providers. This individual will translate complex financial and operational data into meaningful insights, recommendations, and action plans that improve performance across the market. As the Market Finance Lead, you will: Manage a team to review value-based providers’ financial performance, membership, cost and utilization trends, contractual results, and opportunities for improvement. Lead the financial portion of provider engagement prep sessions prior to joint operating committee meetings to advise the Network Performance team on contract performance and opportunities for improvement. Lead analysis and reporting related to value-based provider and contract performance, including financial results, utilization, claims experience, membership, and operational trends. Leverage data analytics, business ins

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. This is an individual contributor role. The Senior Contract Manager for First Health Network Management serves as the subject matter expert in support of contracting initiatives and data audits to enhance provider networks while meeting and exceeding accessibility, compliance, quality, and financial goals. Responsible for reviewing, building and auditing complex contract and network data, support recruitment efforts, and collaborating on negotiations as needed. Role/Responsibilities Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, or local providers, including SCAs, LOAs, and PPAs. Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. Responsible for identifying and managing cost issues 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. Manages contract performance in support of network quality, availability, and financial goals and strategies. Recruits providers to ensure attainment of network expansion

Who we are About Stripe Stripe is a financial infrastructure platform for businesses. Millions of companies—from the world's largest enterprises to the most ambitious startups—use Stripe to accept payments, grow their revenue, and accelerate new business opportunities. Our mission is to increase the GDP of the internet, and we have a staggering amount of work ahead. That means you have an unprecedented opportunity to put the global economy within everyone's reach while doing the most important work of your career. About the team The Procurement team provides services to the businesses that are the backbone for Stripe. Stripe's newly revamped broader Procurement organization consists of Third Party Risk, Strategic Sourcing, Supplier Deal Management, Procurement Enablement, AP and T&E. To facilitate supplier deals with Strategic Sourcing and the business, we created a new Supplier Deal Management (SDM) team in 2022. This instrumental function builds an efficient supplier contracting process, reduces friction for business leaders, works in partnership with TPRM and Legal to minimize risk, and increases the velocity at which Stripe can engage key suppliers. SDM's mission is to drive agreements efficiently via appropriate channels, bringing structure to the overall contracting process in partnership with stakeholders while providing a customized and guided user experience and effectively managing value and risk for Stripe. What you'll do We're looking for a Supplier Deal Management Specialist to join our growing team. This individual will help us improve the user experience by processing and reviewing supplier contracting requests according to the following steps: Intake FAQ—Answer initial questions and educate DRIs on the overall risk assessment and supplier contracting process Contract Preparation—Conduct initial review of contractual terms (or assemble appropriate Stripe templates) and prepare agreements for legal review according to defined guidelines Partner wit

Who we are About Stripe Stripe is a financial infrastructure platform for businesses. Millions of companies—from the world's largest enterprises to the most ambitious startups—use Stripe to accept payments, grow their revenue, and accelerate new business opportunities. Our mission is to increase the GDP of the internet, and we have a staggering amount of work ahead. That means you have an unprecedented opportunity to put the global economy within everyone's reach while doing the most important work of your career. About the team The Procurement team provides services to the businesses that are the backbone for Stripe. Stripe's newly revamped broader Procurement organization consists of Third Party Risk, Strategic Sourcing, Supplier Deal Management, Procurement Enablement, AP and T&E. To facilitate supplier deals with Strategic Sourcing and the business, we created a new Supplier Deal Management (SDM) team in 2022. This instrumental function builds an efficient supplier contracting process, reduces friction for business leaders, works in partnership with TPRM and Legal to minimize risk, and increases the velocity at which Stripe can engage key suppliers. SDM's mission is to drive agreements efficiently via appropriate channels, bringing structure to the overall contracting process in partnership with stakeholders while providing a customized and guided user experience and effectively managing value and risk for Stripe. What you'll do We're looking for a Supplier Deal Management Specialist to join our growing team. This individual will help us improve the user experience by processing and reviewing supplier contracting requests according to the following steps: Intake FAQ—Answer initial questions and educate DRIs on the overall risk assessment and supplier contracting process Contract Preparation—Conduct initial review of contractual terms (or assemble appropriate Stripe templates) and prepare agreements for legal review according to defined guidelines Partner wit

About the team OpenAI’s mission is to ensure that artificial general intelligence benefits all of humanity. OpenAI for Government helps public-sector institutions use advanced AI responsibly to improve services and advance critical missions. The Partnerships team builds the external ecosystem and internal operating mechanisms required to deliver that work at scale. Role Summary We are seeking a Partnerships Operations Lead to build and run the operating foundation for OpenAI for Government’s Partnerships team. This person will serve as the operational connective tissue across the partner team, working closely with Account Directors, Solutions Architects, Revenue Operations, Deal Desk, and other cross-functional stakeholders to move opportunities from initial engagement through agreement and execution. They will help ensure a smooth handoff to Technical Success across accounts by establishing clear readiness criteria, capturing the right commercial and customer context, and aligning teams on partner roles, commitments, dependencies, and success outcomes. The ideal candidate is a true utility player who combines the relationship instincts of a growth oriented builder with the rigor of an exceptional business operator. They thrive in ambiguity, create processes that do not yet exist, and move fluidly between deal execution, workflow design, analysis, and cross-functional coordination. Key Responsibilities Own the end-to-end operating cadence for partner-sourced and partner-influenced opportunities, from intake and qualification through approvals, contracting, launch, and expansion. Build and continuously improve operating processes, standard procedures, stage gates, decision rights, and service expectations that make partner execution faster and more predictable. Operationalize new and existing government partner motions—including cloud providers, resellers, and sell-through models—by translating requirements that differ from standard commercial motions into clear work

About Us Twitch is the world’s biggest live streaming service, with global communities built around gaming, entertainment, music, sports, cooking, and more. It is where thousands of communities come together for whatever, every day. We’re about community, inside and out. You’ll find coworkers who are eager to team up, collaborate, and smash (or elegantly solve) problems together. We’re on a quest to empower live communities, so if this sounds good to you, see what we’re up to on LinkedIn and X , and discover the projects we’re solving on our Blog . Be sure to explore our Interviewing Guide to learn how to ace our interview process. About the Role The Twitch legal team is looking for an experienced person for the role of Contracts Manager. You will provide support for commercial and IP agreements, content partnerships, Twitch esports productions, and various marketing activations. This role is an excellent opportunity to join Twitch’s close-knit legal team, build relationships with counterparts at Amazon legal, and have fun tackling the complex issues of our user community. You can work from San Francisco, CA; Los Angeles, CA or Seattle, WA. You Will: Draft and negotiate agreements for software, SAAS, advertising, production, talent, content, marketing and other commercial transactions. Counsel our teams on many legal and business issues, including rights and clearances. Coordinate with diverse partners, including esports, procurement, business development, partnerships, marketing, sales, and finance. Collaborate with legal team members to improve processes and ensure business demands are satisfied. You Have: Bachelor's Degree or equivalent; 3+ years of experience navigating commercial transactions, preferably in the digital space Experience drafting and closing commercial agreements and improving contracting processes. Ability to work independently while also contributing successfully to cross-functional teams. S

About Us Twitch is the world’s biggest live streaming service, with global communities built around gaming, entertainment, music, sports, cooking, and more. It is where thousands of communities come together for whatever, every day. We’re about community, inside and out. You’ll find coworkers who are eager to team up, collaborate, and smash (or elegantly solve) problems together. We’re on a quest to empower live communities, so if this sounds good to you, see what we’re up to on LinkedIn and X , and discover the projects we’re solving on our Blog . Be sure to explore our Interviewing Guide to learn how to ace our interview process. About the Role The Twitch legal team is looking for an experienced person for the role of Contracts Manager. You will provide support for commercial and IP agreements, content partnerships, Twitch esports productions, and various marketing activations. This role is an excellent opportunity to join Twitch’s close-knit legal team, build relationships with counterparts at Amazon legal, and have fun tackling the complex issues of our user community. You can work from San Francisco, CA; Los Angeles, CA or Seattle, WA. You Will: Draft and negotiate agreements for software, SAAS, advertising, production, talent, content, marketing and other commercial transactions. Counsel our teams on many legal and business issues, including rights and clearances. Coordinate with diverse partners, including esports, procurement, business development, partnerships, marketing, sales, and finance. Collaborate with legal team members to improve processes and ensure business demands are satisfied. You Have: Bachelor's Degree or equivalent; 3+ years of experience navigating commercial transactions, preferably in the digital space Experience drafting and closing commercial agreements and improving contracting processes. Ability to work independently while also contributing successfully to cross-functional teams. S

About Us Twitch is the world’s biggest live streaming service, with global communities built around gaming, entertainment, music, sports, cooking, and more. It is where thousands of communities come together for whatever, every day. We’re about community, inside and out. You’ll find coworkers who are eager to team up, collaborate, and smash (or elegantly solve) problems together. We’re on a quest to empower live communities, so if this sounds good to you, see what we’re up to on LinkedIn and X , and discover the projects we’re solving on our Blog . Be sure to explore our Interviewing Guide to learn how to ace our interview process. About the Role The Twitch legal team is looking for an experienced person for the role of Contracts Manager. You will provide support for commercial and IP agreements, content partnerships, Twitch esports productions, and various marketing activations. This role is an excellent opportunity to join Twitch’s close-knit legal team, build relationships with counterparts at Amazon legal, and have fun tackling the complex issues of our user community. You can work from San Francisco, CA; Los Angeles, CA or Seattle, WA. You Will: Draft and negotiate agreements for software, SAAS, advertising, production, talent, content, marketing and other commercial transactions. Counsel our teams on many legal and business issues, including rights and clearances. Coordinate with diverse partners, including esports, procurement, business development, partnerships, marketing, sales, and finance. Collaborate with legal team members to improve processes and ensure business demands are satisfied. You Have: Bachelor's Degree or equivalent; 3+ years of experience navigating commercial transactions, preferably in the digital space Experience drafting and closing commercial agreements and improving contracting processes. Ability to work independently while also contributing successfully to cross-functional teams. S

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 The Senior Actuary - Network position within the network analytics team provides the financial tools and analytics to support network strategy in alignment with market/business growth priorities. The market-specific responsibilities will provide individuals with the opportunity to develop in-depth knowledge of market dynamics and to establish strong cross-functional relationships with key business partners, including network, MEU, and commercial actuarial teams. Additional core areas of focus include network discounts, emerging trend analytics, and pricing and contracting support. Key responsibilities will include: Discounts – Develop a quarterly, market-level discount review process to inform Regional Leads and Chief Network Officers of changes in benchmarking based on the latest view, identifying gaps and pressured areas to consider for future negotiations. Provide meaningful information to the field on the impact and expected timing of new negotiations beyond current consultant benchmarking. Emerging Trend Analytics – Engage cross-functionally with Network, MEU, and other teams to drive enhanced contract negotiation strategies using data-driven recommendations for MedRx and Behavioral Health. Pricing – provide support for Aetna Whole Health / APCN Plus (Performance Networks), joint ventures, and narrow network pricing across all

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 At Aetna®, part of CVS Health, we proudly serve more than 26 million medical members through our broad range of health plan offerings. We're committed to delivering a simpler, more meaningful, and personal health care experience to each of them. As a Senior Manager Medicare Product, Vendor Management Contract Lead you will play a critical role contracting, negotiations, oversight of vendors and assisting in achieving CVS goals, work strategically together, and remain as adaptable as possible in an ever-changing environment. This role's scope of responsibility includes overseeing the following in relation to Medicare Product vendor management: Finance, Contracts, Invoicing, Negotiations, Provisioning, Aetna Medicare Supplemental & Duals benefits, Vendor relationship management, Compliance oversight, Auditing, and projects as assigned. The Senior Manager, Vendor Management Contract Lead is a high impact role. You will lead advance contract and negotiation skills, work with other partner to identify root cause, address, and resolve vendor issues, manage vendors to the contract SLAs, performance guarantees and provide insight into complex vendor problems. Responsibilities include: Work assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-dep