CVS Health

Network Relations Manager

CVS Health

full-time

Posted on:

Location Type: Remote

Location: Remote • Pennsylvania • 🇺🇸 United States

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Salary

💰 $60,300 - $132,600 per year

Job Level

Mid-LevelSenior

About the role

  • Acts as the primary resource for assigned profile of larger and more complex providers to establish, oversee, and maintain provider risk management and positive relationships.
  • Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.
  • Collaborates cross-functionally to ensure resolution of escalated issues or projects for assigned provider systems.
  • Educates internal and external parties as needed to ensure compliance with contract policies and parameters.
  • Meets with key providers periodically to ensure service levels are meeting expectations.
  • Manages the development of agenda, validates materials, and facilitates external provider meetings.
  • May collaborate cross functionally on the implementation of large provider systems.

Requirements

  • 4+ years' experience in business segment specific environment servicing or managing non-standard relationships with providers with exposure to benefit plan design and/or contract interpretation.
  • 3-5 years' experience with business segment specific policy, benefits, plan design and language.
  • Working knowledge of business segment specific codes, products, and terminology.
  • Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills with proven ability to influence and collaborate with providers and partners at all levels.
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
  • 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
provider risk managementbenefit plan designcontract interpretationpolicy managementproblem resolutioncritical thinking
Soft skills
communicationinterpersonal skillscollaborationinfluencefacilitation
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