CVS Health
Network Relations Manager
$54K–$146K
NC - Work from home +2 · Remote · Manager · Full-time · Posted Oct 8, 2026
- Location
- NC - Work from home
MD - Work from home
VA - Work from home - Experience
- 5+ years required; preferred: minimum of 2 years reviewing, analyzing, and auditing healthcare claims and claims data.
- Education
- Bachelor's degree preferred/specialized training/relevant professional qualification.
About the job
Manages healthcare provider relationships and network performance, resolves issues, and supports network expansion and improvement.
What you'll do
- Build and maintain provider relationships; assess performance and compliance, and resolve escalated concerns.
- Collaborate on provider contract terms and identify, onboard, and support network expansion opportunities.
- Analyze network data and metrics, coordinate with internal teams, and recommend improvements.
What they ask for
- 5+ years of healthcare provider relationship management experience involving individual providers and complex health systems or provider groups.
- Proficiency with Microsoft Office Suite, including Outlook and Excel functions such as formulas, filters, sorting, and pivot tables.
- Demonstrated critical thinking, problem-solving, collaboration, planning, communication, and adaptability skills.
- Ability and willingness to travel up to 10%, based on business needs.
Nice to have
- At least 2 years reviewing, analyzing, and auditing healthcare claims and claims data.
- Currently residing in Virginia, Washington, D.C., Maryland, or a state contiguous to one of these locations.
Pay
$54,300.00 - $145,860.00 USD base salary
Tools
Microsoft Office Suite, Outlook, Excel
Model-written summary · the original posting is authoritative