Senior Manager, Network Management, CVS Health

CVS Health

Location:
United States, Florida

Category:
Consulting

Contract Type:
Employment contract

Salary:

67900.00 - 149328.00 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 uniquely connected, convenient, and compassionate way.

Job Responsibility:

Guides development of holistic solutions or strategic plans negotiates and executes contracts with the most complex, market/region/national, largest group/system or highest value/volume of spend providers with significant financial implications
Manages contract performance and drives the development and implementation of value-based contract relationships in support of business strategies
Recruit providers as needed to ensure attainment of network expansion and adequacy targets
Accountable for cost arrangements within defined groups
Collaborates 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 collaborating cross functionally to execute significant cost saving initiatives
Represents company with high visibility constituents, including customers and community groups
Promotes collaboration with internal partners
Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements
Collaborates with internal partners to assess effectiveness of tactical plan in managing costs
May optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met
Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information

Requirements:

Minimum 5 years related experience and comprehensive level of negotiating with individual or complex provider systems or groups
Experience contracting with hospital systems and/or large physician groups
Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting options, financial/contracting arrangements, and regulatory requirements
Strong communication, critical thinking, problem resolution and interpersonal skills
Must reside in the state of Florida

Nice to have:

Ability to forge meaningful, long-lasting relationships with providers
Working knowledge of Medicare programs and related subject matter

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs including 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 01, 2025

Expiration:
November 30, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Senior Manager, Network Management