Senior Manager, Network Management - Behavioral Health - Remote

Overview

The Senior Manager of Network Management at CVS Health will play a critical role in managing national behavioral health contracts and partnerships, ensuring effective provider relationships and contract performance.

In Short

• Manage negotiations and contract performance for behavioral health providers.
• Recruit innovative providers to expand the network.
• Collaborate cross-functionally on provider compensation and pricing.
• Identify cost issues and implement cost-saving initiatives.
• Drive development of value-based contract relationships.
• Represent Aetna with high visibility constituents.
• Evaluate and implement provider network strategic plans.
• Optimize interactions with providers and internal partners.
• Utilize strong communication and problem-solving skills.
• Support the development of strategic network configurations.

Requirements

• 5+ years of managed care network negotiating experience.
• 3+ years of contracting for large facilities or provider groups.
• Knowledge of Commercial, Medicare, and Medicaid.
• Understanding of competitor strategies and regulatory requirements.
• Preferred knowledge of value-based and Pay for Performance contracting.
• Bachelor's degree or relevant professional qualification preferred.

Benefits

• Competitive pay and benefits package.
• 401(k) plan with company matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs and counseling services.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave options.