Manager, Network Relations
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Pennsylvania • United States
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Salary
💰 $60,300 - $132,600 per year
About the role
- Acts as the primary resource for assigned, high profile providers and/or groups
- Establish, oversee, and maintain positive relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures
- Optimizes interactions with assigned providers and internal business partners
- Monitors service capabilities and collaborates cross-functionally to ensure that the needs of constituents are met
- Supports or assists with operational activities that may include database management, and contract coordination
- Performs credentialing support activities as needed
- Educates Medicaid providers to ensure compliance with contract policies and parameters
- Meets with key providers at regular intervals to ensure service levels meet expectations
- Manages the development of agenda, validates materials, and facilitates external provider meetings
- Collaborates cross-functionally with the implementation of large provider systems
- May provide guidance and training to less experienced team members
Requirements
- A minimum of 5 years' work experience in healthcare
- Minimum of 3 years' experience in Medicaid Managed Care business segment environment servicing providers with exposure to benefits and/or contract interpretation
- Working knowledge of business segment specific codes, products, and terminology
- Travel within the defined territory up to 50% of the time
- Must reside in Pennsylvania for PA CHIP contract (Philadelphia and Southeastern PA Region - preferred within 1 hour drive of Philadelphia, PA)
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
- Financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
- Many other benefits depending on eligibility
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
database managementcredentialing supportcontract coordinationMedicaid policiesMedicaid Managed Carebenefits interpretationcontract interpretation
Soft Skills
relationship managementcollaborationcommunicationproblem-solvingtraining