Manager, Network Relations

Job Description Candidate must be within 50 miles of the Kansas border - Acts as the primary resource for assigned profile of assigned provider territory to establish, oversee, and maintain provider risk management and positive relationship and supports high value initiative activities. - Drives the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. - May have limited contract negotiation responsibilities for assigned providers.Required Qualifications- Candidate must be within 50 miles of the Kansas border- 4+ years' experience in business segment specific environment servicing or managing nonstandard relationships with providers with exposure to benefit plan design and/or contract interpretations. - 3-5 years' experience with business segment specific policy, benefits, plan design and language. - Working knowledge of business segment specific codes, products, and terminology.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications- Working knowledge of Medicaid specific codes, products, and terminology.- Strong Verbal and written communication, interpersonal, problem resolution and critical thinking skills with proven ability to influence and collaborate with providers and partners at all levels. - Proven advanced problem solving skills, proven independent worker and self-starter. - Demonstration of meeting leadership skills and meeting management. - Demonstration of experiential or educational project management skills. - Ability to evaluate data and identify action plans or solutions based on data. - Ability to handle conflict management. Ability to educate an outcome or position even if unfavorable.Education- Bachelor's Degree or equivalent combination of education and experience.Business OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-11-01