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Provider Network Relationship Manager

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Work at Home

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Category:
Health and Beauty

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Contract Type:
Employment contract

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Salary:

54300.00 - 119340.00 USD / Year

Job Description:

This position assesses overall network composition and potential provider partners in order to identify and service partnerships that will advance and differentiate the OhioRISE Network. This executes, services and may negotiate contracts with local market providers in accordance with company and program standards to enhance provider networks and exceed accessibility, quality, and financial goals and cost initiatives.

Job Responsibility:

  • Assesses overall network composition and potential provider partners
  • Executes, services and may negotiate contracts with local market providers
  • Optimizes interactions with assigned providers and internal business partners
  • Collaborates cross-functionally to ensure resolution of escalated issues
  • Educates internal and external parties to ensure compliance
  • Meets with key providers periodically
  • Manages development of agenda and facilitates external provider meetings
  • May collaborate on implementation of large provider systems
  • May be responsible for provider recruitment, contracting, or re-contracting activities
  • Drives provider engagement and may recruit providers
  • Assists with design and implementation of strategic network configurations
  • Serves as SME for less experienced team members

Requirements:

  • In depth knowledge of behavioral health market and strong experience building and maintaining relationships with Behavioral Health providers
  • 5+ years related experience in managed care and comprehensive level of influencing skills with successful track record negotiating and/or servicing contracts with individual or complex provider systems or groups, preferably in Behavioral Health
  • Strong communication, critical thinking, problem resolution and interpersonal skills
  • Understands the regulatory environment and ensures contractual compliance with state requirements
  • Ability to travel in-state as needed
  • Must have reliable transportation, valid/active driver's license, and proof of vehicle insurance
  • Computer literate
  • proficiency with MS Office Suite applications
  • Bachelor's degree or equivalent professional work experience

Nice to have:

In depth knowledge of Ohio managed care market, Medicaid preferred

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 10, 2025

Expiration:
October 11, 2025

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