Senior Network Provider Manager - Remote

Overview

As a Senior Network Provider Manager at CVS Health, you will guide the development of holistic solutions and negotiate contracts with complex provider systems, ensuring effective provider compensation and cost management.

In Short

• Lead the development of strategic plans for provider networks.
• Negotiate contracts with high-value providers.
• Manage contract performance and cost arrangements.
• Collaborate with internal partners to optimize provider interactions.
• Identify and manage cost issues within the network.
• Represent the company in high-visibility situations.
• Evaluate and implement provider network strategies.
• Ensure resolution of escalated issues related to contracts.
• Maintain a fully engaged network of providers.
• Drive initiatives for cost-saving measures.

Requirements

• Minimum 5 years of related experience.
• Strong negotiation skills with complex provider systems.
• Understanding of Value Based Contracting.
• Proficient in Microsoft Office/Excel.
• Healthcare industry experience preferred.
• Excellent communication and problem-solving skills.
• Knowledge of Medicare and Commercial regulations.
• Bachelor’s Degree preferred or equivalent experience.

Benefits

• Comprehensive medical plan options.
• 401(k) plan with company matching.
• Employee stock purchase plan.
• Wellness programs and counseling services.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave resources.
• Retiree medical access.
• Various other benefits based on eligibility.