Senior Manager, Provider Relations – Metro NY

CVS Health

Lead provider relationship management and service operations for healthcare provider groups at CVS Health. Drive performance metrics and improve provider satisfaction in the Metro NY area.

Posted 6/19/2026full-timeNew York City • New York • 🇺🇸 United StatesSenior💰 $82,940 - $199,144 per yearWebsite

About the role

Key responsibilities & impact

Lead provider relationship management and service operations, driving issue resolution, provider satisfaction, and cross-functional coordination for complex provider groups.
Drive provider performance related to quality, cost efficiency, access, and member experience metrics.
Partner closely with Network Management, Medical Management, Value-Based Care, Operations, and Finance to execute provider strategies.
Identify opportunities to improve provider engagement, resolve escalated issues, and strengthen collaboration across the provider network.
Support value-based care initiatives, including education, performance monitoring, and provider adoption of new models.
Analyze provider’s performance data and develop action plans to address gaps or risks.
Serve as a senior point of contact for complex provider concerns or operational challenges.
Work cross functionally with additional teams including claims, appeals, interoperability, and contracting to develop creative solutions and root cause issues.
Ensure compliance with regulatory, contractual, and company requirements.

Requirements

What you’ll need

7-10 years of experience in healthcare operations, provider relations, managed care, or network management within a payer or provider organization
Demonstrated experience managing provider relationships, including resolving complex service issues, escalations, and provider concerns
Strong understanding of healthcare operations, including: Claims processing and issue resolution, provider service models and workflows
Experience handling high-level escalations, including executive complaints, regulatory inquiries, and provider disputes
Strong analytical and problem-solving skills with the ability to interpret complex data and resolve issues
Ability to travel within Metro NY market as needed to the NYC office or providers offices.

Benefits

Comp & perks

medical coverage
dental coverage
vision coverage
paid time off
retirement savings options
wellness programs

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

healthcare operationsprovider relationsmanaged carenetwork managementclaims processingdata analysisperformance monitoringissue resolutionprovider service modelsvalue-based care

Soft Skills

problem-solvinganalytical skillscross-functional coordinationcommunicationprovider engagementcollaborationconflict resolutionleadershipcustomer servicestrategic thinking