CVS Health · 1 day ago
Senior Manager, Network Management (North/Central Florida)
CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Senior Manager, Network Management will guide the development of strategic plans, manage contract performance, and collaborate cross-functionally to ensure effective provider relationships and cost management.
Health CareMedicalPharmaceuticalRetailSales
Responsibilities
Guides development of holistic solutions or strategic plans negotiates and executes contracts with the most complex, market / region/national, largest group/system or highest value/volume of spend providers with significant financial implications
Manages contract performance and drives the development and implementation of value-based contract relationships in support of business strategies
Recruit providers as needed to ensure attainment of network expansion and adequacy targets
Accountable for cost arrangements within defined groups
Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities
Responsible for identifying and managing cost issues and collaborating cross functionally to execute significant cost saving initiatives
Represents company with high visibility constituents, including customers and community groups
Promotes collaboration with internal partners
Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements
Collaborates with internal partners to assess effectiveness of tactical plan in managing costs
May optimize interaction with assigned providers and internal business partners to facilitate relationships and ensure provider needs are met
Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information
Qualification
Required
Minimum 5 years related experience and comprehensive level of negotiating with individual or complex provider systems or groups
Experience contracting with hospital systems and/or large physician groups
Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting options, financial/contracting arrangements, and regulatory requirements
Strong communication, critical thinking, problem resolution and interpersonal skills
Must reside in the state of Florida
Preferred
Ability to forge meaningful, long-lasting relationships with providers
Working knowledge of Medicare programs and related subject matter
Residing in Florida
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
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
H1B Sponsorship
CVS Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
Recent News
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2026-01-07
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2026-01-06
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