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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
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:$54,300.00 - $119,340.00This 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 peopleWe 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:
For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 01/12/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.