Provider Relations Manager - Medicaid Network

CVS Health; Dallas (TX); On-site; USD 60,000 - 133,000; Full time

Job summary

CVS Health is seeking a Provider Relations professional to act as the primary resource for high-profile Medicaid providers and groups. You will establish and maintain positive relationships, address complex issues, and collaborate across functions to meet provider needs.

Requires 5+ years in healthcare and 3+ years in Medicaid Managed Care, with up to 80% travel and residence in the Dallas area. A bachelor’s degree is preferred and a comprehensive benefits package is offered.

Qualifications

• 5+ years in healthcare setting.
• 3+ years in Medicaid Managed Care environment.
• Knowledge of codes, products, and terminology.
• Willingness to travel 50-80% of the time.
• Resident of Dallas/Fort Worth metroplex.

Responsibilities

• Optimize interactions with providers and internal teams.
• Monitor service capabilities and resolve escalated issues.
• Support administrative activities including database and contract coordination.
• Perform credentialing support as needed.
• Educate Medicaid providers on contract policies and processes.
• Meet with providers to ensure service levels.

Skills

Healthcare experience

Medicaid experience

Contract interpretation

Relationship management

Travel readiness

Education

Bachelor's degree preferred

Job description

CVS Health is seeking a Provider Relations professional to act as the primary resource for high-profile Medicaid providers and groups. You will establish and maintain positive relationships, address complex issues, and collaborate across functions to meet provider needs.

Requires 5+ years in healthcare and 3+ years in Medicaid Managed Care, with up to 80% travel and residence in the Dallas area. A bachelor’s degree is preferred and a comprehensive benefits package is offered.