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Network Relations Manager - Remote

Posted 2 days ago
Sales / Business
Full Time
USA
$54,300.00 - $119,340.00/year

Overview

The Network Relations Manager at CVS Health is responsible for establishing and maintaining positive relationships with healthcare providers, overseeing complex issues related to policies, contracts, and provider education.

In Short

  • Acts as primary resource for assigned providers and groups.
  • Optimizes interactions with providers and internal partners.
  • Meets regularly with key providers to ensure service levels.
  • Collaborates to address provider-related issues and streamline processes.
  • Contributes to the development and expansion of the provider network.
  • Coordinates contracting processes with healthcare providers.
  • Assists in developing provider education programs.
  • Handles provider-related issues and disputes.
  • Performs limited credentialing support activities.
  • Facilitates external provider meetings.

Requirements

  • 5 years' work experience in healthcare.
  • 3 years' experience in Managed Care & Medicare.
  • Knowledge of business segment, products, and terminology.
  • Willingness to travel within the defined territory (30%-50%).
  • Reside in Central or Northeast Florida.
  • Bilingual in Spanish preferred.
  • Proficient in the MS Office Suite.
  • Bachelor's degree preferred or equivalent experience.

Benefits

  • Affordable medical plan options.
  • 401(k) plan with company matching.
  • Employee stock purchase plan.
  • No-cost wellness programs.
  • Paid time off and flexible work schedules.
  • Tuition assistance.
  • Confidential counseling and financial coaching.
  • Dependent care resources.
  • Retiree medical access.
  • Comprehensive benefits addressing different needs.

A.R

Aetna Resources

Aetna Resources, a part of CVS Health, is a leading health solutions company dedicated to transforming healthcare for millions of Americans. With a workforce of over 300,000 passionate colleagues, Aetna focuses on providing connected, convenient, and compassionate care through various channels. The company emphasizes data intelligence to support its Medicare organization and Stars program, aiming to enhance member experiences and elevate Star ratings while adhering to regulatory guidelines. Aetna is committed to fostering a diverse and inclusive workplace, offering comprehensive benefits and a culture that values collaboration, trust, and innovation.

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