Manager, Network Relations, CVS Health

CVS Health

Location:
United States, Work At Home

Category:
-

Contract Type:
Not provided

Salary:

54300.00 - 145860.00 USD / Year

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Job Description:

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. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Job Responsibility:

Acts as the primary resource for assigned profile of larger and more complex providers
Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets
Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships
Monitors service capabilities and collaborates cross-functionally to ensure that the needs of constituents are met
Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination
Performs credentialing support activities as needed
Educates providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures
Meets with key providers periodically to ensure service levels are meeting expectations
Manages the development of agenda, validates materials, and facilitates external provider meetings
Conduct standard provider recruitment, contracting, or re-contracting activities and assist with more complex contracting and discussions as needed by business segment
May provide guidance and training to less experienced team members

Requirements:

4 to 5 years of provider relations experience
3 to 5 years' experience with business segment specific policy, benefits, plan design and language
Working knowledge of business segment specific CPT and HCPC codes, products, and terminology
Proven advanced problem-solving skills, conflict management, an independent worker and self-starter
Ability to work remotely, in the Maine, Connecticut, Rhode Island, Massachusetts, New Hampshire and Vermont area

Nice to have:

2+ years of Medicare and Commercial insurance experience
Ability to educate an outcome or position even if unfavorable
Ability to evaluate data and identify action plans or solutions based on data
Previous experience using EPDB and provider on-boarding tools

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
July 04, 2025

Expiration:
August 31, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Manager, Network Relations