Network Relations Manager

CVS Health

Network Relations Manager supporting Oklahoma Medicaid providers for CVS Health. Resolving contract, claims, credentialing, and service issues while managing provider relationships and field meetings.

Posted 8/5/2026full-timeTulsa • Oklahoma • 🇺🇸 United StatesMid-LevelSenior💰 $54,300 - $119,340 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive experience in Medicaid Managed Care, provider relationship management, and contract interpretation, with a strong focus on compliance with Medicaid regulatory standards and effective communication skills.

Highest-signal resume keywords

Medicaid Managed Care ExperienceProvider Relationship ManagementContract InterpretationKnowledge of Medicaid Regulatory StandardsMedical Terminology Proficiency

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Database ManagementContract CoordinationCredentialing ActivitiesCPT CodesICD-10 CodesClaims ProcessingService Level MonitoringProvider EducationProblem ResolutionTrend Identification

Soft Skills

Verbal CommunicationWritten CommunicationInterpersonal SkillsCritical ThinkingProblem Resolution

Industry Keywords

HealthcareMedicaidProvider AppealsNetwork AccessClaim LifecycleNetwork Performance StandardsProvider EnablementExternal TrainingWorkflowsReporting Needs

About the role

Key responsibilities & impact

Act as the primary resource for assigned high-profile Medicaid providers and groups
Establish, oversee, and maintain positive provider relationships
Respond to complex issues involving Medicaid policies and procedures, plan design, contract language, service, claims, and compensation
Monitor service capabilities and collaborate cross-functionally to resolve escalated claims, contract, and provider-information issues
Support database management, contract coordination, and credentialing activities
Educate Medicaid providers on contract policies, plan design, compensation processes, technology, policies, and procedures
Meet regularly with key providers to ensure service levels meet expectations
Develop agendas, validate materials, and facilitate external provider meetings
Collaborate on implementation of large provider systems, cost initiatives, trend identification, and problem resolution
Provide guidance and training to less experienced team members
Collaborate with Provider Enablement & Strategy on provider-facing communications, workflows, external trainings, reporting needs, and HUB support
Perform other duties as assigned

Requirements

What you’ll need

Minimum 5 years' work experience in healthcare
Minimum 3 years' experience in a Medicaid Managed Care business segment environment servicing providers
Exposure to benefits and/or contract interpretation
Working knowledge of business segment-specific codes, products, and terminology
Ability to travel within the defined territory 50–80% of the time
Must reside in Oklahoma
Knowledge of Medicaid regulatory standards for network access, credentialing, claim lifecycle, provider appeals and disputes, and network performance standards
Experience with medical terminology, CPT, ICD-10 codes, etc.
Strong verbal and written communication, interpersonal, problem resolution, and critical thinking skills

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program in addition to the base pay range
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being