CVS Health
Manager, Network Management (National Health Systems)
$54K–$159K
GA - Work from home +48 · Remote · Manager · Full-time · Posted Oct 27, 2026
- Location
- GA - Work from home
Work At Home-Arkansas
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CT - Hartford
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Work At Home-Delaware - Experience
- 5+ years; posting lists provider contracting, claims management, or patient management experience, plus 5+ experience in a Claims environment and 5+ experience including the specified platforms, products, benefits, or functions.
- Education
- Bachelor's degree preferred or a combination of professional work experience and education.
About the job
Manages provider contract negotiations and performance, dispute resolution, and network development to meet accessibility, compliance, quality, and cost goals.
What you'll do
- Negotiate, execute, review, and analyze provider contracts; resolve disputes and negotiate settlements.
- Maintain provider relationships and develop contract initiatives, compensation recommendations, and reimbursement models.
- Support network development and cost-saving strategies, assess industry changes, and coach junior colleagues.
What they ask for
- 5+ years of provider contracting, claims management, or patient management experience.
- 5+ experience working with or in a Claims environment.
- 5+ experience including ACAS and HRP claim platforms, products, and benefits; patient management, provider relations, or claims management.
Nice to have
- Experience with Aetna systems (SCM, Smart Front End, Rate Inquiry, Contract Inquiry).
Pay
$54,300.00 - $159,120.00 USD base salary
Tools
ACAS, HRP, SCM, Smart Front End, Rate Inquiry, Contract Inquiry
Model-written summary · the original posting is authoritative