Strategic Provider Network Manager

4062 Aetna Resources, LLC; North Carolina; Hybrid; USD 54,000 - 146,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health in the United States is seeking an experienced Provider Relationship Manager to build and sustain contractual networks with facilities, physicians and ancillary providers. You will analyze performance, resolve issues, and collaborate with internal teams to drive network growth and quality of care.

This role emphasizes relationship management, data analysis in Excel, travel up to 10%, and proactive stakeholder communication to achieve aligned outcomes and superior member experience.

Qualifications

• 5+ years of experience in healthcare provider relationship management with networks of care.
• Strong problem solving and decision making with minimal supervision.
• Proven ability to collaborate across teams and drive results.
• Excellent written and verbal communication with internal and external stakeholders.

Responsibilities

• Establish and maintain relationships with network providers and facilities.
• Analyze provider performance and quality indicators for contract compliance.
• Resolve escalated issues and disputes between providers and networks.
• Negotiate and finalize terms with network providers.
• Develop plans to expand and enhance the provider network.
• Monitor network data to assess performance and identify improvements.

Skills

Provider relationship management

Analytical thinking

Cross-functional collaboration

Communication skills

Travel readiness

Education

Bachelor's degree

Tools

Microsoft Excel

Outlook

Job description

CVS Health in the United States is seeking an experienced Provider Relationship Manager to build and sustain contractual networks with facilities, physicians and ancillary providers. You will analyze performance, resolve issues, and collaborate with internal teams to drive network growth and quality of care.

This role emphasizes relationship management, data analysis in Excel, travel up to 10%, and proactive stakeholder communication to achieve aligned outcomes and superior member experience.