Senior Manager, Network Management – Keystone Market

CVS Health

Senior Manager negotiating healthcare contracts and managing networks at CVS Health. Responsible for driving compliance and cost savings through provider negotiations and collaboration.

Posted 6/19/2026full-timeRemote • Pennsylvania • 🇺🇸 United StatesSenior💰 $75,400 - $165,954 per yearWebsite

About the role

Key responsibilities & impact

Negotiate, execute, and analyze complex provider contracts, including dispute resolution and settlement negotiations
Manage contract performance and support value-based arrangements aligned to business strategy
Drive network expansion and adequacy through provider recruitment and targeted strategies
Accountable for cost arrangements and aligning contracts with financial goals
Collaborate cross-functionally on pricing, compensation, and reimbursement modeling activities
Conduct contract analysis to identify cost savings and optimization opportunities
Resolve escalated issues including claims, contract interpretation, and provider data accuracy
Ensure compliance with regulatory requirements and company standards
Serve as SME and provide guidance to team members
Support network development and strategic configuration initiatives

Requirements

What you’ll need

7–10 years of experience in healthcare contracting or network management
Strong understanding of provider financials and reimbursement methodologies
Proven negotiation, communication, and cross-functional collaboration skills
Familiarity with the Keystone market preferred
Experience working with Aetna internal systems preferred
Strong proficiency in Microsoft Office applications
Background in value-based care agreements
Experience across Commercial, Medicare, and Medicaid lines of business.

Benefits

Comp & perks

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

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills & Tools

contract negotiationcontract analysisprovider financialsreimbursement methodologiesvalue-based care agreementscost arrangementspricing modelingcompensation modelingclaims resolutiondata accuracy

Soft Skills

communicationcross-functional collaborationnegotiationproblem-solvingteam guidance