Senior Manager, Network Management Behavioral Health (Southern CA, MT)

CVS Health

2.7

(75)

WY (Remote)

Why you should apply for a job to CVS Health:

  • 62% say women are treated fairly and equally to men
  • 52% say the CEO supports gender diversity
  • Ratings are based on anonymous reviews by Fairygodboss members.

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    Position summary

    exceeding accessibility, quality and financial goals and cost initiatives.Required Qualifications

    -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 amendmentsPreferred Qualifications

    • 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 idealEducation

    Bachelor's Degree or equivalent combination of education and experiencePay Range

    The typical pay range for this role is:$67,900.00 - $199,144.00

    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. This position also includes an award target in the company's equity award program.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:

    • 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/benefitsWe anticipate the application window for this opening will close on: 01/31/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

    Why you should apply for a job to CVS Health:

  • 62% say women are treated fairly and equally to men
  • 52% say the CEO supports gender diversity
  • Ratings are based on anonymous reviews by Fairygodboss members.