Network Relations Manager, CVS Health

CVS Health

Location:
United States, Work at Home, Pennsylvania

Category:
-

Contract Type:
Employment contract

Salary:

60300.00 - 132600.00 USD / Year

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Job Description:

Acts as the primary resource for assigned profile of larger and more complex providers (i.e. market/regional/national, large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative activities. Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.

Job Responsibility:

Acts as the primary resource for assigned profile of larger and more complex providers to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative activities
Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets
May have limited contract negotiation responsibilities for assigned providers

Requirements:

Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships
Collaborates cross-functionally to ensure resolution of escalated issues or projects for assigned provider systems
Educates internal and external parties as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, performance measurement techniques, 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
May collaborate cross functionally on the implementation of large provider systems
May be responsible for provider recruitment, contracting, or re-contracting activities
May provide guidance and training to less experienced team members
Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills with proven ability to influence and collaborate with providers and partners at all levels
4+ years' experience in business segment specific environment servicing or managing non-standard relationships with providers with exposure to benefit plan design and/or contract interpretation
3-5 years' experience with business segment specific policy, benefits, plan design and language
Working knowledge of business segment specific codes, products, and terminology
Bachelor's Degree or equivalent combination of education and experience

What we offer:

Affordable medical plan options
401(k) plan with 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 30, 2025

Expiration:
December 19, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Network Relations Manager

CVS Health

Location:United States, Work at Home, Pennsylvania

Category:-

Contract Type:Employment contract