Senior Manager, Network Management - Behavioral Health - Remote

Overview

The Senior Manager of Network Management at CVS Health will oversee negotiations and manage contracts with national behavioral health groups and facility providers, focusing on strategic partnerships and network expansion.

In Short

• Manage negotiations and dispute resolutions for contracts.
• Recruit innovative providers for network expansion.
• Collaborate on provider compensation and pricing strategies.
• Identify cost issues and implement cost-saving initiatives.
• Design and manage strategic network configurations.
• Drive value-based contract relationships.
• Represent Aetna with high visibility constituents.
• Formulate and implement provider network strategic plans.
• Optimize interactions with providers and internal partners.
• Utilize strong communication and problem-resolution skills.

Requirements

• 5+ years of managed care network negotiating experience.
• 3+ years of contracting for large facilities or provider groups.
• Knowledge of competitor strategies and regulatory requirements.
• Experience with value-based and Pay for Performance contracting.
• Bachelor's degree preferred.

Benefits

• Comprehensive medical plan options.
• 401(k) plan with matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave options.