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CVS Health

Bringing our heart to every moment of your health.

Provider Network Relationship Manager

Account ManagerSalesFull TimeRemoteSeniorTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Ohio

Posted

53 days ago

Salary

$60.3K - $132.6K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglish

Job Description

Provider Network Relationship Manager

CVS Health

• optimizes interactions with assigned providers and internal business partners • collaborates cross-functionally to ensure resolution of escalated issues or projects • educates internal and external parties as needed to ensure compliance with contract policies and parameters • meets with key providers periodically to ensure service levels are meeting expectations • manages the development of agenda, validates materials, and facilitates external provider meetings • may collaborate cross-functionally on the implementation of large provider systems • may be responsible for provider recruitment, contracting, or re-contracting activities • drives provider engagement, and may recruit providers as needed • assists with the design, development, management, and or implementation of strategic network configurations

Job Requirements

  • 5+ years of experience in Medicaid managed care
  • strong ability to influence and a proven track record of successfully negotiating and managing contracts
  • experience in Behavioral Health contracting is strongly preferred
  • understands the regulatory environment and ensures contractual compliance with state requirements
  • strong communication, critical thinking, problem resolution and interpersonal skills
  • candidates must reside in the state of Ohio
  • ability to travel in-state as needed
  • computer literate; proficiency with MS Office Suite applications

Benefits

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

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