Network Audit Program Manager, CVS Health

CVS Health

Location:
United States, Work at Home

Category:
IT - Administration

Contract Type:
Employment contract

Salary:

46988.00 - 112200.00 USD / Year

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Job Description:

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. Serves as a key member of the Network Audit team, leveraging deep expertise in healthcare provider contracts, provider data management, network operations, and data auditing. Supports the development and maintenance of a market-specific provider network that meets or exceeds targets for accessibility, regulatory compliance, quality, and financial performance.

Job Responsibility:

Serves as a key member of the Network Audit team, leveraging deep expertise in healthcare provider contracts, provider data management, network operations, and data auditing
Supports the development and maintenance of a market-specific provider network that meets or exceeds targets for accessibility, regulatory compliance, quality, and financial performance
Oversees and evaluates the accuracy and timeliness of provider network application processing to drive strategic growth initiatives
Tracks and documents quality and productivity metrics, providing actionable insights and performance data to support management decisions and training program development
Collaborates cross-functionally to support the negotiation and renewal of provider agreements
Offers expert guidance on provider application requirements, conducts audits to ensure data integrity, and initiates or supports remediation efforts as needed to maintain high standards of operational excellence

Requirements:

3-5 years of experience working in managed healthcare contracting, network management, or supporting roles
1-2 years project management experience
SharePoint experience (Manage and build out)
Medicaid experience
QuickBase, Excel (Pivot tables, Basic formulas) experience
Bachelor' Degree or equivalent work experience (HS diploma + 4 years relevant experience)

Nice to have:

3-5 years of experience with collaboration and cross-functional teamwork
3-5 years of experience with multi-tasking and prioritizing duties
3-5 years of experience with complex problem-solving and decision-making skills

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost 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:
October 22, 2025

Expiration:
November 11, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Network Audit Program Manager