Provider Relations Manager, Michigan Medicaid

CVS Health

Provider Relations Manager managing high profile Medicaid provider relationships at CVS Health. Optimizing interactions and ensuring compliance while supporting operational activities and provider education.

Posted 4/14/2026full-timeDetroit • Missouri • 🇺🇸 United StatesMid-LevelSenior💰 $60,300 - $132,600 per yearWebsite

About the role

Key responsibilities & impact

Acts as the primary resource for assigned, high profile providers and/or groups to establish, oversee, and maintain positive relationships
Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships
Monitors service capabilities and collaborate cross-functionally to ensure that the needs of constituents are met
Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination
Performs credentialing support activities as needed.
Educates Medicaid providers as needed 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
Collaborate cross-functionally with the implementation of large provider systems
May provide guidance and training to less experienced team members.

Requirements

What you’ll need

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 50-80% of the time.
Candidates must reside in the state of Michigan.

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

database managementcredentialing supportcontract coordination

Soft Skills

relationship managementcollaborationcommunicationtrainingfacilitation