Senior Network Provider Manager, National Medicaid Ancillary Contracting - Remote

Overview

As a Senior Network Provider Manager at CVS Health, you will negotiate and manage contracts with national providers, ensuring network expansion and compliance with company standards.

In Short

• Negotiate contracts with national providers.
• Manage provider networks to meet accessibility and quality goals.
• Recruit providers to achieve network expansion targets.
• Conduct high-level analysis of contract disputes.
• Collaborate cross-functionally to manage provider compensation.
• Maintain contract management systems.
• Support health plan expansion initiatives.
• Perform data analysis and prepare reports for leadership.
• Engage with providers to streamline contracting processes.
• Provide subject matter expertise on contracting issues.

Requirements

• 5+ years of network contracting/management experience.
• Knowledge of standard provider contracts and negotiation skills.
• In-depth knowledge of managed care industry practices.
• Proficiency with MS Office applications.
• Strong communication and interpersonal skills.
• Ability to travel up to 25% as needed.
• Critical thinking and problem resolution skills.
• Ability to forge long-lasting relationships.
• Strong organizational skills.
• Bachelor's degree or equivalent experience.

Benefits

• Competitive wages and comprehensive benefits.
• 401(k) plan with matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs.
• Flexible work schedules and paid time off.
• Tuition assistance and financial coaching.
• Colleague assistance programs.
• Dependent care resources.
• Retiree medical access.
• Equity award program eligibility.