Senior Provider Network Contractor (Texas)

makes necessary network modifications or expansions.

• Provides hands on oversite and direct engagement on team projects.

• Implements improvement initiatives to ensure that network providers meet all applicable regulatory and quality standards.

• Develops and expands the network, identifying and contracting with healthcare providers, including hospitals, physicians, specialists, and ancillary service providers.

• Conducts market analysis, assesses competitive positioning, and recommends strategies to maintain a competitive edge.

• Interfaces with the finance team on budgeting, cost analysis, and financial forecasting, to manage the financial aspects of provider network management.

• Consults with internal teams, including medical directors, operations managers, and network development professionals, to align provider network performance goals and objectives.

• Provides continuous recommendations to senior leadership to guide decision-making and ensure close alignment with the organization's strategic goals and objectives.

Required Qualifications

• A minimum of 3 years provider network contracting and/or sales operational experience with a health insurance managed care company
• Adept at Project Management.
• Adept at problem solving and decision-making.
• Adept at collaboration and teamwork.
• Adept at execution and delivery (planning, delivering, and supporting) skills
• Adept at business intelligence.
• Intrinsically Driven.
• Proactive Initiator.

Preferred Qualifications

• A minimum of 7 years relevant work experience.
• Skilled Communicator.
• Growth Mindset with Mentorship Capability.
• Strong Organizational Competence.

Education

• Bachelor's degree preferred or a combination or professional work experience and education.

Pay Range

The typical pay range for this role is:$67,900.00 - $165,954.00

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: 05/03/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.