Network Relations Manager – Florida

CVS Health is a leading health solutions company committed to improving the health and well-being of individuals, families, and communities across the United States. Known for its innovative approach to health care, CVS Health offers a broad portfolio of services and products including pharmacy, health care plans, and health clinics. As a Fortune 500 company, CVS Health strives to create a connected, convenient, and compassionate health experience for every patient and customer it serves. Within this dynamic and fast-growing organization, employees are valued for their dedication, accountability, and commitment to safety and quality in all aspects of their work. The company fosters a diverse and inclusive workplace culture, recognizing that its colleagues reflect the people they serve and that fostering a sense of belonging is key to its continued success.

The Network Provider Relations Manager role at CVS Health is a full-time, individual contributor position located in Florida, offering a competitive salary range from $60,300 to $132,600 annually, with eligibility for bonus, commission, or short-term incentive programs. This role is central to ensuring strong, effective, and efficient relationships between CVS Health and its network of healthcare providers. The incumbent is responsible for designing, developing, and maintaining contracts and relationships with facilities, physicians, and ancillary providers that make up the member care network. The role requires negotiating contracts, evaluating provider performance, resolving issues proactively, identifying opportunities for network expansion, and collaborating with multiple internal and external stakeholders.

Key responsibilities include fostering open communication with network providers to build solid partnerships, analyzing and auditing provider performance to ensure compliance with contracts and service level agreements, and leading efforts to resolve escalated issues with a customer-focused approach. The Network Provider Relations Manager works closely with contracting teams to finalize agreements aligned with the company’s strategic objectives, develops operational plans to enhance the network, and monitors healthcare data and metrics to recommend performance improvements. Collaboration with cross-functional teams such as finance, operations, and customer service is integral to this role, as is staying abreast of industry trends, regulatory changes, and market dynamics.

With a requirement of at least five years experience in provider relations, network management, healthcare contracting, or payer operations, and a minimum of three years experience in a Managed Care environment, this position demands a strong grasp of healthcare business segments, products, and terminology along with proven problem-solving and decision-making skills. The ideal candidate is proficient in Microsoft Office tools and is committed to excellence in provider network management within the health care industry. This opportunity at CVS Health offers a rewarding career path within a values-driven organization dedicated to simplifying health care one person, one family, and one community at a time.