Senior Manager, Customer Centricity – Business Cards & Payments
Capital One
Network Management Manager – LTSS Contracting
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Remote • Pennsylvania • 🇺🇸 United States
Visit company websiteSalary
💰 $60,300 - $132,600 per year
Job Level
Mid-LevelSenior
About the role
- Recruit providers as needed to ensure attainment of network expansion and adequacy targets
- Negotiate and execute contracts with larger and more complex, market-based group/system providers
- Conduct extensive cold calling to recruit providers and build provider network
- Manage the full contracting process, including pre- and post-signature review, language modifications, submission of contract packet to appropriate departments, and follow through to completion and participation
- Collaborate with internal teams to resolve issues and meet network adequacy and expansion goals
- Audit, build, and load contracts, agreements, amendments, and/or fee schedules in contract management systems
- Conduct research, analysis, and audits to identify issues and propose solutions to protect data integrity and contract performance
- Manage contract performance and support development of value-based relationships aligned with business strategies
- Collaborate cross-functionally on provider compensation, pricing development, and reimbursement modeling activities
- Attend JOC meetings with assigned health systems
- Provide technical expertise for questions related to contracting systems and data
- Perform data analysis to assess quality and meaning, identify trends, and visualize data using tools and techniques
Requirements
- Minimum 3 years of related experience with knowledge of basic negotiating skills
- Proven working knowledge of standard provider contracts, terms, and language
- High proficiency with Microsoft Office Suite (Word, Excel, Outlook)
- Strong communication skills (written, verbal, and presentation)
- Critical thinking, problem resolution, and interpersonal skills
- Knowledge and experience with Medicaid programs, regulations, and provider requirements (preferred)
- Experience with Quickbase and SharePoint (preferred)
- Ability to identify and capitalize on opportunities to support program delivery (preferred)
- In-depth knowledge of managed care industry practices and competitor strategies (preferred)
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
- Benefit solutions that address different needs and preferences of colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
contract negotiationdata analysiscontract managementprovider compensationreimbursement modelingcontract performance managementprovider network expansionauditresearchproblem resolution
Soft skills
communication skillscritical thinkinginterpersonal skillsproblem-solvingcollaborationpresentation skills
