CVS Health · 1 day ago
Senior Manager, Network Management
United States
Full-time
Remote
Senior Level
$83K/yr - $183K/yr
5+ years expCVS Health is building a world of health around every individual, aiming to simplify healthcare experiences. The Senior Manager will oversee the strategy development and execution of contracts with providers, focusing on negotiations, relationship management, and performance management to enhance provider networks.
Health CareMedicalPharmaceuticalRetailSales
Responsibilities
Contract Management: Initiate, coordinate, and own the contracting activities to fulfillment, including receipt and processing of contracts and documentation. Conduct pre- and post-signature review of contracts and language modifications according to established policies
Auditing and Loading: Responsible for auditing, building, and loading contracts, agreements, amendments, and fee schedules in contract management systems per established policies. This will include multiple systems, primarily SCM
Research and Analysis: Conduct research, analysis, and audits to identify issues and propose solutions to protect data, contract integrity, and performance
Contract Performance Management: Manage contract performance and support the development and implementation of value-based contract relationships in alignment with business strategies
Cross-Functional Collaboration: Collaborate cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and review and analysis of reports as part of negotiation and reimbursement modeling activities. Assist with strategy development and facilitate activities as required to assist contingent worker activities
Subject Matter Expertise: Provide expert support for questions related to recruitment initiatives, contracting, provider issues/resolutions, related systems, and information contained. Share expertise and guidance with team members
Value-Based Contracting: Understand and manage value-based contracting and negotiations, as warranted
Project Management: Manage high-level projects and initiatives with inter-departmental resources and cross-functional stakeholders
Provider Meetings: Coordinate and participate in provider-facing meetings, including but not limited to Joint Operating Committee meetings, if warranted
Operational Support: Assist with operational activities such as database management and contract coordination
Data Management: Organize and transform information into comprehensible structures. Use data to predict trends in the customer base and the consumer population. Perform statistical analysis of data and visualize data in easy-to-understand formats, such as diagrams and graphs. Prepare reports and present findings to leadership
Provider Engagement: Engage with providers and efficiently move them through contracting processes in order to maintain robust network adequacy requirements
Qualification
Required
Minimum 5 years related experience and comprehensive level of negotiating managed care contracts with individuals, complex provider systems, etc
Proven working knowledge of healthcare related provider financial issues and competitor strategies, large/complex contracting options, financial/contracting arrangements, and regulatory requirements
Strong skills focused on communication, negotiations, critical thinking, problem resolution, competitor strategies
Highly effective in WAH environment and proficient with MS Office (experienced with pivot tables, v-lookup, etc)
Preferred
Solid decision-making skills while executing national, regional, and market-level strategies
Experience in negotiating managed care (including vbc) contract terms across the full spectrum of provider types
Proficient with Aetna internal systems specific to contracting (SCM)
Benefits
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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.
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
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
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
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2026-01-22
Maryland Daily Record
2026-01-19
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