Network Relations Manager (Remote FL - Palm Beach, Indian River, St. Lucie, or Martin Counties )
At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary This is an individual contributor role. Acts as the primary resource for assigned providers and/or groups to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues, regarding policies and procedures, contract language, service, claims or compensation issues, and provider education needs. Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships. Meets with key Providers at regular intervals to ensure service levels meet expectations. Collaborates with internal stakeholders to address provider-related issues, streamline processes, and improve the overall provider experience within the organization. Contributes to the development and expansion of the healthcare organization's provider network by identifying and recruiting new providers who align with the organization's needs and strategic objectives. Coordinates the contracting process with healthcare providers to negotiate contract terms, fee schedules, reimbursement rates, and other contractual arrangements. Assists with the development of provider education programs by organizing meetings, webinars, or training sessions to enhance providers' understanding of the organization's requirements, quality standards, and best practices. Handles provider-related issues, concerns, and disputes to maintain positive relationships and ensure compliance with contractual agreements. Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination. Performs limited credentialing support activities as needed. Manages the development of agenda, validates materials, and facilitates external provider meetings. Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills. Other duties as assigned.
Required Qualifications
A minimum of 5 years' work experience in healthcare. Minimum of 3 years' experience in Managed Care business segment environment servicing providers with exposure to contracting and contract management. Working knowledge of business segment, products, and terminology. Travel within the defined territory up to 30% - 50% of the time. Candidates must reside in Florida, specifically in Palm Beach, Indian River, St. Lucie, or Martin Counties.
Preferred Qualifications
Bilingual in Spanish highly preferred. Proficient in the MS Office Suite and other advanced technologies. Education Bachelor's degree preferred or a combination of professional work experience and education. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,300.00 - $119,340.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 01/12/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area. Apply tot his job Apply To this Job