Strategic Provider Relations Manager - Metro NY

CVS Health; New York (NY); On-site; USD 66,000 - 159,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health in the Metro New York market seeks a Manager, Provider Relations to oversee provider relationships and support provider service operations for physicians, hospitals, and health systems. The role acts as a liaison between providers and internal partners to drive issue resolution and network performance.

The ideal candidate will have strong analytical skills, healthcare operations experience, and the ability to collaborate across multiple teams to improve the provider experience and

Qualifications

• Experience in healthcare operations and provider relations.
• Strong analytical and problem-solving skills.
• Ability to collaborate across a matrixed organization.
• Proficiency with Excel, PowerPoint, and data analysis tools.

Responsibilities

• Manage relationships with assigned hospitals.
• Serve as primary point of contact for provider operational issues and escalations.
• Investigate and resolve complex provider concerns related to claims, credentialing, and reimbursement.
• Collaborate with Claims, Credentialing, Medical Management, and Contracting to drive issue resolution.

Skills

Provider relations

Analytical skills

Cross-functional collaboration

Excel

PowerPoint

Education

Bachelor's degree

Tools

Data analysis tools

Job description

CVS Health in the Metro New York market seeks a Manager, Provider Relations to oversee provider relationships and support provider service operations for physicians, hospitals, and health systems. The role acts as a liaison between providers and internal partners to drive issue resolution and network performance.

The ideal candidate will have strong analytical skills, healthcare operations experience, and the ability to collaborate across multiple teams to improve the provider experience and