Network Relations Manager

Job not on LinkedIn

November 13

🐊 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 • Assists with or responds to complex issues, regarding policies and procedures, 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 • 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 • 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 • 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 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 Florida, specifically in Palm Beach, Indian River, St. Lucie, or Martin Counties • 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 • Benefit solutions that address the different needs and preferences of our colleagues including 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