Data Modeler Contract Jobs in Elgin, IL (NOW HIRING)

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 ourselvesaccountable 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.
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

• Lead end-to-end contract negotiations, execution, and analysis with a focus on ancillary providers, physician groups, and smaller/local systems.
• Manage contract performance and drive the development and implementation of value-based arrangements aligned with organizational strategy.
• Identify, recruit, and onboard providers to meet network expansion and adequacy targets; accountable for delivering competitive and sustainable cost arrangements.
• Partner cross-functionally to support provider compensation strategy, pricing development, and reimbursement modeling.
• Analyze financial and operational data to identify cost-saving opportunities and execute initiatives that drive measurable impact.
• Serve as a key representative of the organization with providers, customers, and community stakeholders, strengthening partnerships and collaboration.
• Evaluate and contribute to provider network strategy, ensuring alignment with state requirements, product needs, and cost management objectives.
• Optimize provider engagement and resolve complex escalations related to claims, contract interpretation, and provider data accuracy.

Required Qualifications

• 5+ years of experience negotiating contracts with ancillary providers, facilities, and physician groups, including contract language development, rate proposal analysis, and identification of operational and financial improvement opportunities. Demonstrated ability to leverage competitive market data, financial metrics, and detailed analysis to secure favorable contract outcomes.
• 3+ years of experience in provider relationship management or related healthcare roles, with proven contract management expertise.
• Strong knowledge of provider reimbursement methodologies, contract structures, and industry-standard payment policies and practices.
• Solid understanding of provider financial drivers, regulatory requirements, and competitive market dynamics.
• Advanced proficiency in Microsoft Office applications, including Excel, Word, and Outlook.
• Proven ability to build and maintain collaborative relationships with providers while partnering cross-functionally to resolve complex contract issues.
• Highly organized with strong prioritization skills; able to manage multiple negotiations and competing priorities while meeting deadlines.
• Candidates must reside in the state of Illinois.

Preferred Qualifications

• Experience with Commercial and Medicare lines of business.

Education

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

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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.

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

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