Network Management Manager- Pennsylvania LTSS Contracting

Recruitment Provider Manager

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary : This role is responsible for recruiting providers and managing the end-to-end contracting process to ensure timely participation in our network. The position requires a high volume of cold calls, persistent follow-up, and strong organizational skills to move contracts from initiation through execution. The ideal candidate will have negotiation skills, basic contract knowledge, and the ability to manage multiple priorities in a fast-paced environment. Travel may be required up to 10%.

Key Responsibilities :

• Recruit providers as needed to ensure attainment of network expansion and adequacy targets. Negotiate and execute contracts with larger and more complex, market-based group / system providers. Conduct extensive cold calling to recruit providers and build provider network
• Manage the full contracting process, including pre- and post-signature review, language modifications, when appropriate, submission of contract packet to appropriate departments, follow through to completion and participation.
• Collaborate with internal teams to resolve issues and meet network adequacy and expansion goals.
• Audit, build, and load contracts, agreements, amendments, and / or fee schedules in contract management systems. Conduct research, analysis, and audits to identify issues and propose solutions to protect data integrity and contract performance.
• Manage contract performance and support development of value-based relationships aligned with business strategies.
• Collaborate cross-functionally on provider compensation, pricing development, and reimbursement modeling activities.
• Attend JOC meetings with assigned health systems.
• Provide technical expertise for questions related to contracting systems and data.
• Perform data analysis to assess quality and meaning, identify trends, and visualize data using tools and techniques.

Required Qualifications :

Preferred Qualifications :

Education : Bachelor's degree desired or equivalent work experience.

Anticipated Weekly Hours : 40

Time Type : Full time

Pay Range : The typical pay range for this role is : $60,300.00 - $132,600.00

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.

Great benefits for great people

We 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 :

We anticipate the application window for this opening will close on : 12 / 19 / 2025

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