Provider Network Relationship Manager

CVS Health

full-time

Posted on: 4/7/2026

Location Type: Remote

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💰 $60,300 - $132,600 per year

About the role

optimizes interactions with assigned providers and internal business partners
collaborates cross-functionally to ensure resolution of escalated issues or projects
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
may be responsible for provider recruitment, contracting, or re-contracting activities
drives provider engagement, and may recruit providers as needed
assists with the design, development, management, and or implementation of strategic network configurations

5+ years of experience in Medicaid managed care
strong ability to influence and a proven track record of successfully negotiating and managing contracts
experience in Behavioral Health contracting is strongly preferred
understands the regulatory environment and ensures contractual compliance with state requirements
strong communication, critical thinking, problem resolution and interpersonal skills
candidates must reside in the state of Ohio
ability to travel in-state as needed
computer literate; proficiency with MS Office Suite applications

Benefits

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Medicaid managed careBehavioral Health contractingcontract negotiationcontract managementregulatory compliancestrategic network configurations

Soft Skills

influencecommunicationcritical thinkingproblem resolutioninterpersonal skills