CVS Health logo
CVS Health

CVS Health is a leading healthcare company operating CVS Specialty, CVS Pharmacy, CVS MinuteClinic, and CVS Caremark. In 2018, CVS combined forces with healthca

Network Relations Manager (Oklahoma Medicaid)

Location

United States

Posted

64 days ago

Salary

$54.3K - $119K / year

Seniority

Lead

Job Description

Network Relations Manager (Oklahoma Medicaid)

CVS Health

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This is an individual contributor role. Acts as the primary resource for assigned, high profile providers and/or groups (i.e. local, individual providers, small groups/systems) to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs. - Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships. - Monitors service capabilities and collaborate cross- functionally to ensure that the needs of constituents are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. - Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination. - Performs credentialing support activities as needed. - Educates Medicaid providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures. - Meets with key Providers at regular intervals to ensure service levels meet expectations. - Manages the development of agenda, validates materials, and facilitates external provider meetings. - Collaborate cross-functionally with the implementation of large provider systems, to manage cost drivers and execute specific cost initiatives to support business objectives and to identify trends and enlist assistance in problem resolution. - May provide guidance and training to less experienced team members. - Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills. - Collaborate with Provider Enablement & Strategy on Provider-facing communications, desktops, workflows, external trainings, reporting needs, and HUB support. - Other duties as assigned. Required Qualifications - A minimum of 5 years' work experience in healthcare. - Minimum of 3 years' experience in Medicaid Managed Care business segment environment servicing providers with exposure to benefits and/or contract interpretation. - Working knowledge of business segment specific codes, products, and terminology. - Travel within the defined territory up to 50-80% of the time. - Must reside in Oklahoma Preferred Qualifications - Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals & Disputes, and Network Performance Standards. - Experience in Medical Terminology, CPT, ICD-10 codes, etc. - Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook). Education - Bachelor's degree preferred or a combination of professional work experience and education. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,300.00 - $119,340.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 06/16/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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MITER Brands logo

Territory Sales Manager - New England

MITER Brands

MITER Brands isn’t just one of the nation’s largest suppliers of windows and patio doors—we’re a team driven by innovation, craftsmanship, and a passion for transforming spaces. With manufacturing plants across the country, we’re building more than products—we’re building possibilities.

Account Manager64 days ago
Full TimeRemoteTeam 5,001-10,000

Job Description Are you a competitive, results-driven sales professional ready to take on a challenge that will define your career? MITER Brands, a national leader in windows and doors, is looking for a Territory Sales Manager to transform a high-priority market from Boston through Maine. This is your chance to make a measurable impact, drive significant growth, and establish yourself as a star performer in an organization that’s in growth mode while others wait to rebound. Join a team that values innovation, stability, and your success. Attractive compensation plan that includes salary, commission, car allowance, and comprehensive benefits. Anticipated first year total compensation $120k - $125k with subsequent upside potential to $150K+. The selected candidate will ideally reside in Massachusetts or New Hampshire to be reasonably located within the assigned territory. Why This Role Matters: This is not a maintenance role—it’s an opportunity to own the market and drive explosive growth. You’ll have the autonomy, resources, and support to take a high-profile, established territory and make it thrive. Your success will be visible, measurable, and rewarded. What You’ll Do: - Aggressively grow sales and market share. - Build strong relationships with dealers, builders, and remodelers. - Provide consultative sales, marketing advice, and business counsel to partners. - Represent MITER Brands across dealer channels, lumber yards, and distribution networks. - Deliver exceptional customer care and aftermarket support. What We’re Looking For: - 5+ years of outside sales experience (building products preferred). - Proven ability to exceed quotas and drive growth. - Strong relationship-building and consultative selling skills. - Willingness to travel overnight within the territory. - BA/BS in Business, Marketing, or equivalent experience. What We Offer Our benefits package includes coverage of your health, wealth, and wellness for you and your eligible spouse/dependents. We offer a competitive salary and benefits package, including a 401k with company match and generous paid time off to help you balance your life. Below is a list of benefits you will enjoy while working with our company. - Three comprehensive Medical plan options - Prescription - Dental - Vision - Company Paid Life Insurance - Voluntary Life Insurance - Supplemental Hospital Indemnity, Critical Illness, and Accident Insurance - Company-paid Short-Term Disability - Company-paid Long-Term Disability - Paid time off (PTO) and paid Holidays - 401k retirement plan with company match - Employee Assistance Program - Teladoc - Legal Insurance - Identity Theft Protection - Pet Insurance - Team Member Discount Program - Tuition Reimbursement - Yearly Wellness Clinic MITER Brands, also known as MI Windows and Doors, Milgard and PGT Industries are an equal-opportunity employer. The company does not discriminate based on religion, race, creed, color, national origin, sex, age, disability, handicap, veteran status, sexual orientation, genetic information, or any other applicable legally protected category.

United States
$120K - $150K / year
Full TimeRemoteTeam 10,001+Since 1996H1B Sponsor

Band Level 4 Job Description Summary #LI-Remote This is a field-based and remote opportunity supporting key accounts in an assigned geography. Novartis is unable to offer relocation support for this role. Please only apply if this location is accessible to you. Company will not sponsor visas for this position. The Manager, Cardiovascular Priority Accounts drives product pull-through in targeted Priority Accounts and Affiliated Healthcare Systems within the cardiovascular brand portfolio. This role involves developing and implementing strategic business plans, collaborating with various departments to execute institution-centric programs, and building key business relationships with senior partners. The Manager, Cardiovascular Priority Accounts will engage with decision makers to enable account buying and HCP ordering of Novartis products, while generating insights into new business opportunities. Expertise in Institutional Selling, the US healthcare landscape, and health system structures are essential. Job Description Key Responsibilities: - Accountable for building institutional advocacy around formulary adoption of cardiovascular brands to drive appropriate utilization of approved products, while enabling demand by developing, coordinating, and implementing a strategic business plan for identified top Priority Accounts and Affiliated Healthcare Systems. - Build relationships with administrative decision makers, clinical, operational, and financial partners to optimize pathways, transitions of care, treatment protocols, and other workflow enablement and conduct periodic needs assessments with key customers to tailor and communicate insights and activities, engaging with partners to implement new strategies and tactics. - Identifies and enables injection locations suitable to account archetype and pathway, working with administrative stakeholders and cross-functional teams to integrate workflow and EMR. - Possesses basic knowledge of inpatient vs. outpatient billable reimbursement to ensure the strategic account plan is appropriate and understands market and customer economics and access models, including payment programs and industry trends. Maintains general awareness of Novartis price offerings and ensures account administrators are informed about available offerings. - Collaborate with local partners to create and maintain targeted institutional-specific business plans reflecting an understanding of local market forces influencing product sales. - Demonstrates expertise in disease state, marketplace, competitors, industry, and cross-functional activities to anticipate and address business opportunities and challenges. - Provides product and disease state presentations to physicians and their staff, building key business relationships within accounts while leading cross-functional teams to create, implement, and update business plans to achieve product goals. - Supports cross-functional team members in identifying key business opportunities and diagnosing critical business and implementation issues within assigned Priority Accounts and Affiliated Healthcare Systems. Essential Requirements: - Bachelor’s degree required from 4-year college or university. - 5+ years’ experience in pharmaceutical, biotech, healthcare, or similarly structured industries with large, geographically dispersed teams, and has 2+ years’ experience in specialty buy-and-bill. We also welcome candidates from other complex environments such as medical devices, diagnostics, life sciences services, insurance, consumer health, or B2B sectors, especially where strong field leadership and customer engagement are central to success. - 2+ years’ experience managing complex accounts, including major academic centers and hospitals, with extensive account management expertise. - Must possess an extensive understanding of the cardiovascular community and demonstrate a strong track record of expertise in therapeutic area and product knowledge. - Extensive business experience, with proven capability to collaborate and work across different functions in a matrix environment to develop strategic account plans that align with customer and organization objectives. - Exhibited extensive customer and cross-functional expertise, combined with an understanding of the healthcare ecosystem, strong business acumen, and proficiency in technology and digital engagement. - Candidate must reside within territory, or within a reasonable daily commuting distance of 50 miles from the territory border. Ability to travel 60-80% over a broad geography is required, with the ability to drive and/or fly within the territory. Must have a valid driver’s license. Desirable Requirements: - Experience calling on assigned cardiovascular accounts. - Two different types of cross-functional roles/experience (Marketing, Medical, Market Access and Reimbursement and/or Sales Leadership). Driving is an Essential Function of this Role: Meaning it is fundamental to the purpose of this job and cannot be eliminated. Because driving is an essential function of the role, you must have a fully valid and unrestricted driver’s license to be qualified for this role. The company provides reasonable accommodations for otherwise qualified individuals with medical restrictions if an accommodation can be provided without eliminating the essential function of driving. COVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers’ (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination. As required by applicable law, Novartis will consider requests for reasonable accommodation for those unable to be vaccinated. This requirement is subject to applicable state and local laws and may not be applicable to employees working in certain jurisdictions. Please send accommodation requests to Eh.occupationalhealth@novartis.com. For Field Roles with a Dedicated Training Period: The individual hired for this role will be required to successfully complete certain initial training, including home study, eight (8) or fewer hours per day and forty (40) or fewer hours per week. Novartis Compensation Summary: The salary for this position is expected to range between $145,600 and $270,400 per year. The final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. Novartis may change the published salary range based on company and market factors. Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards. US-based eligible employees will receive a comprehensive benefits package that includes health, life and disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. In addition, employees are eligible for a generous time off package including vacation, personal days, holidays and other leaves. EEO Statement: The Novartis Group of Companies are Equal Opportunity Employers. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, gender, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status. We strive to create an inclusive workplace that cultivates bold innovation through collaboration and empowers our people to unleash their full potential. Accessibility and reasonable accommodations The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please send an e-mail to tas.nacomms@novartis.com call +1 (877)395-2339 and let us know the nature of your request and your contact information. Please include the job requisition number in your message. https://www.novartis.com/careers/careers-research/notice-all-applicants-us-job-openings Salary Range $145,600.00 - $270,400.00 Skills Desired Accountability, Commercial Excellence, Company Process Understanding, Competitive Intelligence, Compliance, Customer Engagement, customer relationship management, health care industry, Key Account Management, Market Development, problem solving techniques, Professional Ethics, Revenue Growth, Selling Skills, Team Collaboration, Value Propositions

United States
$145K - $270K / year
Full TimeRemoteTeam 10,001+Since 1996H1B Sponsor

Job Description Summary #LI-Remote This is a field-based and remote opportunity supporting key accounts in an assigned geography. Novartis is unable to offer relocation support for this role. Please only apply if this location is accessible to you. Company will not sponsor visas for this position. The Manager, Cardiovascular Priority Accounts drives product pull-through in targeted Priority Accounts and Affiliated Healthcare Systems within the cardiovascular brand portfolio. This role involves developing and implementing strategic business plans, collaborating with various departments to execute institution-centric programs, and building key business relationships with senior partners. The Manager, Cardiovascular Priority Accounts will engage with decision makers to enable account buying and HCP ordering of Novartis products, while generating insights into new business opportunities. Expertise in Institutional Selling, the US healthcare landscape, and health system structures are essential. Job Description Key Responsibilities: - Accountable for building institutional advocacy around formulary adoption of cardiovascular brands to drive appropriate utilization of approved products, while enabling demand by developing, coordinating, and implementing a strategic business plan for identified top Priority Accounts and Affiliated Healthcare Systems. - Build relationships with administrative decision makers, clinical, operational, and financial partners to optimize pathways, transitions of care, treatment protocols, and other workflow enablement and conduct periodic needs assessments with key customers to tailor and communicate insights and activities, engaging with partners to implement new strategies and tactics. - Identifies and enables injection locations suitable to account archetype and pathway, working with administrative stakeholders and cross-functional teams to integrate workflow and EMR. - Possesses basic knowledge of inpatient vs. outpatient billable reimbursement to ensure the strategic account plan is appropriate and understands market and customer economics and access models, including payment programs and industry trends. Maintains general awareness of Novartis price offerings and ensures account administrators are informed about available offerings. - Collaborate with local partners to create and maintain targeted institutional-specific business plans reflecting an understanding of local market forces influencing product sales. - Demonstrates expertise in disease state, marketplace, competitors, industry, and cross-functional activities to anticipate and address business opportunities and challenges. - Provides product and disease state presentations to physicians and their staff, building key business relationships within accounts while leading cross-functional teams to create, implement, and update business plans to achieve product goals. - Supports cross-functional team members in identifying key business opportunities and diagnosing critical business and implementation issues within assigned Priority Accounts and Affiliated Healthcare Systems. Essential Requirements: - Bachelor’s degree required from 4-year college or university. - 5+ years’ experience in pharmaceutical, biotech, healthcare, or similarly structured industries with large, geographically dispersed teams, and has 2+ years’ experience in specialty buy-and-bill. We also welcome candidates from other complex environments such as medical devices, diagnostics, life sciences services, insurance, consumer health, or B2B sectors, especially where strong field leadership and customer engagement are central to success. - 2+ years’ experience managing complex accounts, including major academic centers and hospitals, with extensive account management expertise. - Must possess an extensive understanding of the cardiovascular community and demonstrate a strong track record of expertise in therapeutic area and product knowledge. - Extensive business experience, with proven capability to collaborate and work across different functions in a matrix environment to develop strategic account plans that align with customer and organization objectives. - Exhibited extensive customer and cross-functional expertise, combined with an understanding of the healthcare ecosystem, strong business acumen, and proficiency in technology and digital engagement. - Candidate must reside within territory, or within a reasonable daily commuting distance of 50 miles from the territory border. Ability to travel 60-80% over a broad geography is required, with the ability to drive and/or fly within the territory. Must have a valid driver’s license. Desirable Requirements: - Experience calling on assigned cardiovascular accounts. - Two different types of cross-functional roles/experience (Marketing, Medical, Market Access and Reimbursement and/or Sales Leadership). Driving is an Essential Function of this Role: Meaning it is fundamental to the purpose of this job and cannot be eliminated. Because driving is an essential function of the role, you must have a fully valid and unrestricted driver’s license to be qualified for this role. The company provides reasonable accommodations for otherwise qualified individuals with medical restrictions if an accommodation can be provided without eliminating the essential function of driving. COVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers’ (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination. As required by applicable law, Novartis will consider requests for reasonable accommodation for those unable to be vaccinated. This requirement is subject to applicable state and local laws and may not be applicable to employees working in certain jurisdictions. Please send accommodation requests to Eh.occupationalhealth@novartis.com. For Field Roles with a Dedicated Training Period: The individual hired for this role will be required to successfully complete certain initial training, including home study, eight (8) or fewer hours per day and forty (40) or fewer hours per week. Novartis Compensation Summary: The salary for this position is expected to range between $145,600 and $270,400 per year. The final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. Novartis may change the published salary range based on company and market factors. Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards. US-based eligible employees will receive a comprehensive benefits package that includes health, life and disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. In addition, employees are eligible for a generous time off package including vacation, personal days, holidays and other leaves. EEO Statement: The Novartis Group of Companies are Equal Opportunity Employers. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status. Accessibility and reasonable accommodations The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or to perform the essential functions of a position, please send an e-mail to us.reasonableaccommodations@novartis.com or call +1(877)395-2339 and let us know the nature of your request and your contact information. Please include the job requisition number in your message. Salary Range $145,600.00 - $270,400.00 Skills Desired Accountability, Commercial Excellence, Company Process Understanding, Competitive Intelligence, Compliance, Customer Engagement, customer relationship management, health care industry, Key Account Management, Market Development, problem solving techniques, Professional Ethics, Revenue Growth, Selling Skills, Team Collaboration, Value Propositions

United States
$145K - $270K / year
Medtronic logo

NV-Key Account Supervisor-Haerbing

Medtronic

Engineering the extraordinary

Account Manager64 days ago
Full TimeRemoteTeam 10,001+Since 1949H1B Sponsor

At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You’ll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world. A Day in the Life Responsibilities may include the following and other duties may be assigned. - Promotes and sells Medtronic's products and services within an assigned geographic area and /or specific customer accounts to meet or exceed sales targets. - Responsible for developing, building, and strengthening long-term relationships with stakeholders including distributors and healthcare professionals. - Responsible for pursuing leads, assessing needs and providing product services to maximize the benefits derived from Medtronic's products and/or services. - Promotes and establishes education of the company's products and/or services. - Conducts market research including customers and competitors activities. - Implements market development plans/strategies and changes as needed. - Communicates customer feedback on new products and/or modifications to existing products or applications to internal stakeholders including R&D, Operations and Marketing. SALES PROFESSIONAL CAREER STREAM: Typically sales professional individual contributors with direct sales responsibilities. May direct the work of other lower level sales professionals or manage sales processes and / or accounts involving multiple team members. The majority of time is spent establishing and maintaining customer relationships, developing new customer relationships, implementing sales strategies and closing sales. DIFFERENTIATING FACTORS Autonomy: Seasoned sales professional managing large accounts involving multiple team members. Secures and maintains product distributions and/or services, and maintains effective agreements. Works independently with limited supervision. Builds a network of relationships. Organizational Impact: Works to achieve individual sales targets and execute on sales plans by developing new accounts and/or expanding existing accounts, expanding market presence, and building strong client base. Has significant impact on achieving department’s sales results and may contribute to the development of goals for the department and planning efforts. Works on one or more large accounts, involving multiple team members. Drives adoption and penetration in accounts. Innovation and Complexity: Makes improvements of sales processes, and tools to enhance performance of the job area. Recommends changes in account strategy and tactics to achieve sales goals. Demonstrates good judgment in selecting methods and techniques for obtaining solutions. Communication and Influence: Influences internal contacts (within the job area) and external suppliers, customers and / or vendors regarding policy, practices and procedures. Communicates with external suppliers, customers and / or vendors, involving advanced negotiation and / or presentations in order to manage relationships and close sales. Leadership and Talent Management: Normally receives little instruction on day-to-day work, general instructions on new assignment. May be responsible for providing guidance, coaching and training to other sales professionals and / or support employees. May manage large accounts at this level, requiring responsibility for the delegation of work and the review of others' work product. Required Knowledge and Experience: • High School Diploma (or equivalent) AND 8+ years experience* • OR Associate’s Degree AND 6+ years experience* • OR Bachelor’s Degree AND 4+ years experience* *Relevant sales, clinical, or related experience in medical devices, medtech, healthcare, or life sciences. Physical Job Requirements The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.  Benefits & Compensation Medtronic offers a competitive Salary and flexible Benefits Package A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage. About Medtronic We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions. Our Mission — to alleviate pain, restore health, and extend life — unites a global team of 95,000+ passionate people. We are engineers at heart— putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, diverse perspectives, and guts to engineer the extraordinary. Learn more about our business, mission, and our commitment to diversity here

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