Network Relations Manager – Behavioral Health

Job not on LinkedIn

November 18

🐎 Kentucky – Remote

Although this job is listed in Kentucky, this company may be open to hiring remote in other states.

💵 $54.3k - $119.3k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Account Manager

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CVS Health

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Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

📋 Description

• Acts as the primary resource for assigned, high profile providers and/or groups to establish, oversee, and maintain positive relationships • 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 • Monitors service capabilities and collaborates cross-functionally • Supports or assists with operational activities that may include database management, and contract coordination • Educates Medicaid providers to ensure compliance with contract policies and parameters • Meets with key Providers at regular intervals to ensure service levels meet expectations • Manages the development of agenda and validates materials for external provider meetings • Collaborates cross-functionally with the implementation of large provider systems

🎯 Requirements

• 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 claims, 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 • Bachelor's degree or equivalent work experience

🏖️ Benefits

• Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs • Confidential counseling and financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access