Manager, Network Relations

CVS Health

Manager negotiating contracts and handling disputes with healthcare providers at CVS Health. Supporting contract performance and collaborating cross-functionally to enhance provider networks.

Posted 6/7/2026full-timeRemote • Idaho, Ohio, Texas • 🇺🇸 United StatesMid-LevelSenior💰 $60,300 - $132,600 per yearWebsite

About the role

Key responsibilities & impact

Negotiates, executes, reviews, and analyzes contracts and/or handles dispute resolution and settlement negotiations with solo, small group, or local providers
Manages contract performance in support of network quality, availability, and financial goals and strategies
Recruits providers as needed to ensure attainment of network expansion and adequacy targets
Collaborates cross-functionally to contribute to provider compensation and pricing development activities and recommendations
Identifies and recommends solutions to manage cost issues and supports cost-saving initiatives
Provides network development, maintenance, and refinement strategies in support of the cross-market network management unit
Assists with the design, development, management, and/or implementation of strategic network configurations and integration activities
Optimizes interactions with assigned providers and internal business partners to manage relationships
Ensures resolution of escalated issues related to claims payment, contract interpretation, and the accuracy of provider contract or demographic information

Requirements

What you’ll need

5+ years of experience negotiating contracts with ancillary providers, facilities, and physician groups
Expertise in contract language development, rate proposal analysis, and operational and financial improvement opportunities
3+ years of experience in provider relationship management or related healthcare roles
Understanding of common contract provisions, provider reimbursement methodologies and terms, and industry-standard payment policies and practices
Understanding of provider financial issues, regulatory requirements, and competitor strategies
Proficiency with Microsoft Office suite applications (e.g., Outlook, Word, Excel)
Ability to build collaborative relationships with providers and work cross-functionally to resolve complex contract issues
Highly organized, with the ability to manage and prioritize multiple negotiations and tasks to meet deadlines
Bachelor's degree or a combination of professional work experience and education

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

contract negotiationcontract language developmentrate proposal analysisprovider reimbursement methodologiesfinancial improvement opportunitiesprovider relationship managementcost-saving initiativesstrategic network configurationsclaims payment resolutiondemographic information accuracy

Soft Skills

collaborative relationshipscross-functional collaborationorganizational skillstask prioritizationdeadline management