Senior Manager, Network Management

CVS Health

. Lead end-to-end contract negotiations, execution, and analysis with hospitals, physician groups, and smaller/local systems .

Posted 10/6/2026full-timeRemote • United StatesSenior💰 $67,900 - $165,954 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in contract negotiations, provider relationship management, and financial analysis within the healthcare sector. Proven ability to develop value-based arrangements and optimize provider engagement while ensuring compliance with regulatory requirements.

Highest-signal resume keywords

Contract NegotiationProvider Relationship ManagementFinancial AnalysisValue-Based ArrangementsRegulatory Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract Language DevelopmentRate Proposal AnalysisOperational ImprovementFinancial Metrics AnalysisProvider Financial Issues KnowledgeComplex Contracting OptionsDispute ResolutionFee-For-Service AgreementsValue-Based AgreementsAdvanced Excel

Soft Skills

Strong CommunicationCritical ThinkingProblem ResolutionInterpersonal Skills

Industry Keywords

HealthcareProvider Network StrategyCost ManagementCompetitive Market DataMedicareCommercial InsuranceIndividual ExchangeProvider Compensation StrategyClaims ManagementDallas-Fort Worth Area

About the role

Key responsibilities & impact

Lead end-to-end contract negotiations, execution, and analysis with hospitals, physician groups, and smaller/local systems
Manage contract performance and develop and implement value-based arrangements aligned with organizational strategy
Identify, recruit, and onboard providers to meet network expansion and adequacy targets
Deliver competitive and sustainable cost arrangements
Partner cross-functionally on provider compensation strategy, pricing development, and reimbursement modeling
Analyze financial and operational data to identify cost-saving opportunities and execute initiatives with measurable impact
Represent the organization with providers, customers, and community stakeholders
Evaluate and contribute to provider network strategy aligned with state requirements, product needs, and cost management objectives
Optimize provider engagement and resolve complex escalations involving claims, contract interpretation, and provider data accuracy
Contract and implement fee-for-service and value-based agreements with physician groups, facilities, and ancillary providers
Collaborate with Aetna and CVS departments to improve physician performance and quality of care
Conduct high-level review and analysis, dispute resolution, and settlement negotiations of contracts

Requirements

What you’ll need

7+ years of experience negotiating contracts with hospitals, facilities, and physician groups, including contract language development, rate proposal analysis, and identifying operational and financial improvement opportunities
3+ years of experience in provider relationship management or related healthcare roles, with proven contract management expertise
Working knowledge of provider financial issues and competitor strategies
Knowledge of large/complex contracting options, financial/contracting arrangements, and regulatory requirements
Ability to leverage competitive market data, financial metrics, and detailed analysis to secure favorable contract outcomes
Strong communication, critical thinking, problem resolution, and interpersonal skills
Bachelor’s degree preferred or a combination of professional work experience and education
Commercial, individual exchange, and Medicare experience preferred
Experience contracting with hospital systems and groups preferred
Advanced Excel experience, including pivot tables and VLOOKUP, preferred
Strong preference for the candidate to sit in the Dallas-Fort Worth area or Oklahoma

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
Award target in the company’s equity award program
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being