Network Relations Manager

This is a fully remote position, open to applicants in North Carolina, +2 more states.

📋 Description

• Build and maintain relationships with network providers while promoting open communication and collaboration.

• Evaluate the performance and quality metrics of network providers through consistent assessments and audits.

• Handle and resolve advanced issues and concerns that network providers may present.

• Partner with network contracting teams to negotiate and establish contractual agreements.

• Create tactical and operational strategies aimed at expanding and improving the network.

• Collaborate with business development teams to identify and onboard new providers in key strategic areas.

• Monitor and assess provider demographics and network adequacy indicators.

• Provide recommendations to enhance network effectiveness and efficiency.

• Work in tandem with finance, operations, customer service, and other cross-functional teams.

• Conduct regular meetings with network providers to evaluate performance metrics and address any concerns.

• Stay informed about industry trends, regulatory updates, and market changes, sharing relevant information with internal stakeholders.

⛳️ Requirements

• Over 5 years of experience in managing healthcare provider relationships, including work with individual providers and complex health systems or provider groups.

• Strong critical thinking, problem-solving, and decision-making abilities.

• Capability to assess information, identify root causes, develop solutions, and make prompt decisions with minimal supervision.

• Proven ability to collaborate effectively across teams and functions while fostering productive working relationships.

• Skill in planning, prioritizing, and executing multiple tasks concurrently while adhering to deadlines.

• Excellent written and verbal communication skills.

• Proficiency in Microsoft Office Suite, especially Outlook and Excel.

• Advanced Excel skills, including the use of formulas, filters, sorting, and pivot tables for organizing, analyzing, and summarizing data.

• A growth mindset and adaptability, including the ability to adjust to changing priorities, incorporate feedback, learn new processes, and support others' development.

• Willingness and ability to travel up to 10% of the time.

• Current residence in Virginia, Washington, D.C., Maryland, or a neighboring state.

• A Bachelor's degree is preferred; specialized training or relevant professional qualifications are acceptable.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program in addition to the base salary range.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being, subject to eligibility.