Senior Manager, Network Management (Healthcare) Remote (IA, MO, NE, SD)

goals and cost initiatives.The Senior Manager will be responsible for contracting and implementing fee for service and value-based agreements with key physician groups, facilities, and ancillary providers to support commercial and individual exchange networks. This person will also work collaboratively with Aetna and CVS departments to identify initiatives to improve physician performance and quality of care provided to our members.

Recruit's providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within defined groups. Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.*This is an individual contributor roleRequired Qualifications

• 5 to 7 years contract negotiating with individual or complex provider systems or groups.
• 3 to 5 years of experience with VBC, Commercial and Medicare contracting
• 3 to 5 years of stakeholder management experience - experience with leading, creating and delivering executive presentations
• Prior experience contracting with hospital systems and groups
• Proven working knowledge of provider financial issues and competitor strategies, large/complex contracting options, financial/contracting arrangements, and regulatory requirements.
• Strong communication, critical thinking, problem resolution and interpersonal skills
• Advanced Excel experience including pivot tables and v-lookup function.
• Ability to work remotely, in Iowa, Missouri, Nebraska, or South Dakota

Preferred Qualifications

• Individual exchange and Medicaid experience.

Education

• Bachelor's Degree or equivalent combination of education and experience

Pay Range

The typical pay range for this role is:$67,900.00 - $149,328.00

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: 09/28/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.