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Senior Manager, Network Management Behavioral Health

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Southern California, Montana

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Category:
Health and Beauty

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Contract Type:
Employment contract

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Salary:

67900.00 - 199144.00 USD / Year
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Job Description:

Negotiates, executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of behavioral health facility and hospital contracts with larger and more complex, market/regional/national based group/system providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives.

Job Responsibility:

  • Negotiates, executes, conducts high level review and analysis, dispute resolution and/or settlement negotiations of behavioral health facility and hospital contracts with larger and more complex, market/regional/national based group/system providers
  • Maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals and cost initiatives

Requirements:

  • 5+ years related experience and comprehensive level of negotiating skills with successful track record negotiating contracts, including fee schedules, with individual or complex provider systems or groups
  • Focus on behavioral health providers and facility types
  • Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements
  • Strong communication, critical thinking, problem resolution and interpersonal skills
  • Experience in provider relations activities including claims issue resolution, adding new locations, general provider data maintenance and contract amendments
  • Bachelor's Degree or equivalent combination of education and experience

Nice to have:

  • Candidates residing in the Pacific or Mountain time zones
  • Experience supporting compliance/regulatory activities including network adequacy reporting, network gap mitigation activities and market expansions
  • Experience should include reviewing state bulletins, billing guides, etc
  • Previous experience in West coast region states a plus
  • Experience in commercial, Medicare and Medicaid lines of business ideal
What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
November 21, 2025

Expiration:
December 31, 2025

Employment Type:
Fulltime
Work Type:
Remote work
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