Network Relations Manager – Central, Northeast Florida

Job not on LinkedIn

6 days ago

🐊 Florida – Remote

Although this job is listed in Florida, 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 providers and/or groups to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues • Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships • Meets with key Providers at regular intervals to ensure service levels meet expectations • Collaborates with internal stakeholders to address provider-related issues, streamline processes, and improve the overall provider experience within the organization • Contributes to the development and expansion of the healthcare organization's provider network by identifying and recruiting new providers who align with the organization's needs and strategic objectives • Coordinates the contracting process with healthcare providers to negotiate contract terms, fee schedules, reimbursement rates, and other contractual arrangements • Assists with the development of provider education programs by organizing meetings, webinars, or training sessions to enhance providers' understanding of the organization's requirements, quality standards, and best practices • Handles provider-related issues, concerns, and disputes to maintain positive relationships and ensure compliance with contractual agreements • Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination • Performs limited credentialing support activities as needed • Manages the development of agenda, validates materials, and facilitates external provider meetings

🎯 Requirements

• A minimum of 5 years' work experience in healthcare • Minimum of 3 years' experience in Managed Care & Medicare business segment environment servicing providers with exposure to contracting and contract management • Working knowledge of business segment, products, and terminology • Travel within the defined territory up to 30% - 50% of the time • Candidates must reside in Central Florida (Orlando area) or Northeast Florida (Jacksonville area) • Bilingual in Spanish highly preferred • Proficient in the MS Office Suite and other advanced technologies

🏖️ 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 and many other benefits depending on eligibility