Network Relations Manager

Job not on LinkedIn

🔥 26 minutes ago

🌲 North Carolina, Maryland, +1 more states – Remote

🌲 North Carolina – Remote 🦀 Maryland – Remote ⚔️ Virginia – Remote

💵 $54.3k - $145.9k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💰 Account Manager

👻 Ghost score 0%

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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.

📋 Description

• Establish relationships with network providers and foster open communication and collaboration • Analyze network provider performance and quality indicators through regular assessments and audits • Address and resolve escalated issues and concerns raised by network providers • Collaborate with network contracting teams to negotiate and establish contractual terms and conditions • Develop tactical and operational plans to expand and enhance the network • Work with business development teams to identify and onboard new providers in strategic areas • Monitor and analyze provider demographics and network adequacy metrics • Make recommendations to improve network effectiveness and efficiency • Collaborate with finance, operations, customer service, and other cross-functional teams • Conduct regular meetings with network providers to review performance metrics and address concerns • Stay updated on industry trends, regulatory changes, and market dynamics and communicate relevant information to internal stakeholders

🎯 Requirements

• 5+ years of experience in healthcare provider relationship management, working with individual providers and complex health systems or provider groups • Critical thinking, problem-solving, and decision-making skills • Ability to evaluate information, identify root causes, develop solutions, and make timely decisions with limited supervision • Ability to collaborate effectively across teams and functions and build productive working relationships • Ability to plan, prioritize, and execute multiple assignments simultaneously while meeting deadlines • Written and verbal communication skills • Proficiency with Microsoft Office Suite, including Outlook and Excel • Excel proficiency using formulas, filters, sorting, and pivot tables to organize, analyze, and summarize data • Growth mindset and agility, including adapting to changing priorities, incorporating feedback, learning new processes, and supporting development of others • Ability and willingness to travel up to 10% • Must currently reside in Virginia, Washington, D.C., Maryland, or a state contiguous to one of these locations • Bachelor's degree is preferred; specialized training or relevant professional qualification

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to the base pay range • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility