Senior Manager, Network Management, National Behavioral Health, CVS Health

CVS Health

Location:
United States, Hartford, Connecticut

Category:
Human Resources

Contract Type:
Employment contract

Salary:

67900.00 - 199144.00 USD / Year

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Job Description:

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. 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 – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Job Responsibility:

Recruit large scale and/or innovative providers as needed to ensure attainment of network expansion and strategic targets
Collaborate cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities
Responsible for identifying and managing cost issues and initiating appropriate cost saving initiatives and settlement activities
Assist with the design, development, management, and or implementation of strategic network configurations and integration activities
Manage contract performance and drive the development and implementation of value-based contract relationships in support of business strategies
Represent Aetna with high visibility constituents, including customers and community groups. Promote collaboration with internal partners
Evaluate, formulate, and implement the provider network strategic plan to achieve contracting targets and manage medical costs through effective provider contracting
Optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met

Requirements:

Commercial, Medicare, and/or Medicaid knowledge
5+ years related experience, proven and proficient managed care network negotiating skills
3+ years contracting for large facilities or provider groups
Proven working knowledge of competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements

Nice to have:

Proven working knowledge of value based (VBC) and Pay for Performance (P4P) behavioral health contracting solutions
Experience with behavioral health Institutes of Quality (IOQ)
Well versed with the behavioral health provider national market

What we offer:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Additional Information:

Job Posted:
August 01, 2025

Expiration:
September 28, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Senior Manager, Network Management, National Behavioral Health