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Network Management Manager

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Work at Home

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Category:
-

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Contract Type:
Employment contract

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Salary:

60300.00 - 132600.00 USD / Year

Job Description:

This role is responsible for recruiting providers and managing the end-to-end contracting process to ensure timely participation in our network. The position requires a high volume of cold calls, persistent follow-up, and strong organizational skills to move contracts from initiation through execution. The ideal candidate will have negotiation skills, basic contract knowledge, and the ability to manage multiple priorities in a fast-paced environment.

Job Responsibility:

  • Recruit providers as needed to ensure attainment of network expansion and adequacy targets
  • Negotiate and execute contracts with larger and more complex, market-based group/system providers
  • Conduct extensive cold calling to recruit providers and build provider network
  • Manage the full contracting process, including pre- and post-signature review, language modifications, submission of contract packet to appropriate departments
  • Collaborate with internal teams to resolve issues and meet network adequacy and expansion goals
  • Audit, build, and load contracts, agreements, amendments, and/or fee schedules in contract management systems
  • Conduct research, analysis, and audits to identify issues and propose solutions
  • Manage contract performance and support development of value-based relationships
  • Collaborate cross-functionally on provider compensation, pricing development, and reimbursement modeling activities
  • Attend JOC meetings with assigned health systems
  • Provide technical expertise for questions related to contracting systems and data
  • Perform data analysis to assess quality and meaning, identify trends, and visualize data

Requirements:

  • Minimum 3 years of related experience with knowledge of basic negotiating skills
  • Proven working knowledge of standard provider contracts, terms, and language
  • High proficiency with Microsoft Office Suite (Word, Excel, Outlook)
  • Strong communication skills (written, verbal, and presentation)
  • Critical thinking, problem resolution, and interpersonal skills
  • Bachelor's degree desired or equivalent work experience

Nice to have:

  • Knowledge and experience with Medicaid programs, regulations, and provider requirements
  • Experience with Quickbase and SharePoint
  • Ability to identify and capitalize on opportunities to support program delivery
  • In-depth knowledge of managed care industry practices and competitor strategies
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • 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 30, 2025

Expiration:
December 19, 2025

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:
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