Senior Manager, Network Management Behavioral Health, CVS Health

CVS Health

Location:
United States, Southern California, Montana

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

67900.00 - 199144.00 USD / Year

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Job Description:

Negotiates, executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of behavioral health facility and hospital contracts with larger and more complex, market/regional/national based group/system providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives.

Job Responsibility:

Negotiates, executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of behavioral health facility and hospital contracts with larger and more complex, market/regional/national based group/system providers
Maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives

Requirements:

5+ years related experience and comprehensive level of negotiating skills with successful track record negotiating contracts, including fee schedules, with individual or complex provider systems or groups
Focus on behavioral health providers and facility types
Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements
Strong communication, critical thinking, problem resolution and interpersonal skills
Experience in provider relations activities including claims issue resolution, adding new locations, general provider data maintenance and contract amendments
Bachelor's Degree or equivalent combination of education and experience

Nice to have:

Candidates residing in the Pacific or Mountain time zones
Experience supporting compliance/regulatory activities including network adequacy reporting, network gap mitigation activities and market expansions
Experience should include reviewing state bulletins, billing guides, etc
Previous experience in West coast region states a plus
Experience in commercial, Medicare and Medicaid lines of business ideal

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:
November 21, 2025

Expiration:
December 31, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Senior Manager, Network Management Behavioral Health