Talent.com
Senior Manager, Network Management Behavioral Health (Southern CA, MT)
Senior Manager, Network Management Behavioral Health (Southern CA, MT)Oklahoma Staffing • Oklahoma City, OK, US
Senior Manager, Network Management Behavioral Health (Southern CA, MT)

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

Oklahoma Staffing • Oklahoma City, OK, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Behavioral Health Contract Negotiator

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. 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 : Negotiates, executes, conducts high level review and analysis, dispute resolution and / or settlement negotiations of behavioral health facility and hospital contracts with larger and more complex, market / regional / national based group / system providers in accordance with company standards to maintain and enhance provider networks while meeting and 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 amendments.

Preferred 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.
  • Previous experience in West coast region states a plus.
  • Experience in commercial, Medicare and Medicaid lines of business ideal.
  • Education : Bachelor's Degree or equivalent combination of education and experience.

    Pay 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 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 :

  • 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 / benefits.

    We anticipate the application window for this opening will close on : 01 / 31 / 2026. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

    [job_alerts.create_a_job]

    Manager Behavioral Health • Oklahoma City, OK, US

    [internal_linking.related_jobs]
    Travel Nurse RN - Behavioral Health - $1,700 per week in Lawton, OK

    Travel Nurse RN - Behavioral Health - $1,700 per week in Lawton, OK

    TravelNurseSource • Oklahoma City, Oklahoma, US
    [job_card.full_time] +1
    TravelNurseSource is working with Lancesoft Inc to find a qualified Behavioral Health RN in Lawton, Oklahoma, 73503!.Position : Registered Nurse (RN) - Behavioral Health •. Shift : Nights 3 •12 Hours (7...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Senior Manager, Business Development, Cell & Gene Therapies

    Senior Manager, Business Development, Cell & Gene Therapies

    Fresenius Kabi USA, LLC • Oklahoma City, OK, United States
    [job_card.full_time]
    The Senior Manager, Business Development, will play a critical role in driving global sales and business development strategy for our cutting-edge Cell and Gene Therapies (CGT) Technologies divisio...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Interventional Cardiology

    Interventional Cardiology

    AMN Healthcare • Oklahoma City, US
    [job_card.full_time]
    Job Description & Requirements.StartDate : ASAP Pay Rate : $650000.An award-winning hospital in Oklahoma is seeking a qualified physician who is trained in interventional cardiology to join its t...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Acquisition Integration Professional

    Senior Acquisition Integration Professional

    Centerwell • Oklahoma City, OK, US
    [job_card.full_time]
    Join Our Caring Community and Help Us Put Health First.The Senior Acquisition Implementation Professional manages all aspects of Medicaid State Implementations, from start to finish, so that it is ...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Compliance Senior Manager, U.S. Rare Disease

    Compliance Senior Manager, U.S. Rare Disease

    Amgen • Oklahoma City, OK, US
    [job_card.full_time]
    Join Amgen's Mission of Serving Patients.At Amgen, if you feel like you're part of something bigger, it's because you are. Our shared missionto serve patients living with serious illnessesdrives all...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Manager, FP&A

    Senior Manager, FP&A

    Coinbase • Oklahoma City, Oklahoma, United States
    [filters.remote]
    [job_card.full_time]
    Ready to be pushed beyond what you think you’re capable of?.At Coinbase, our mission is to increase economic freedom in the world. It’s a massive, ambitious opportunity that demands the best of us, ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Occupational Medicine

    Occupational Medicine

    KPG Provider Services • Oklahoma City, Oklahoma, US
    [job_card.full_time] +1
    Occupational Medicine physician employment in Oklahoma : Inpatient Facility : Looking for an experienced Medical Director Occupational Medicine in the Oklahoma City, Oklahoma area.Below you will f...[show_more]
    [last_updated.last_updated_30] • [promoted]
    RN Manager - Geriatric Psych Autumn Life - Edmond Medical Center

    RN Manager - Geriatric Psych Autumn Life - Edmond Medical Center

    IntelyCare • Oklahoma City, OK, US
    [job_card.full_time]
    Position Title : RN Manager - Geriatric Psych Autumn Life - Edmond Medical Center.An OU Health Manager of Nursing manages the day-to-day clinical operations of their department, maintaining nursing ...[show_more]
    [last_updated.last_updated_1_hour] • [promoted] • [new]
    Manager, Oral Health Foundation

    Manager, Oral Health Foundation

    Delta Dental of Oklahoma • Oklahoma City, OK, USA
    [job_card.full_time]
    [filters_job_card.quick_apply]
    The Delta Dental of Oklahoma Foundation is the philanthropic affiliate of Delta Dental of Oklahoma and a leading contributor to dental health and education-related projects and initiatives statewid...[show_more]
    [last_updated.last_updated_variable_days]
    RN Behavioral Health

    RN Behavioral Health

    eTeam Inc • Oklahoma City, Oklahoma, United States
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Job Title : RN Behavioural Health.Under general supervision, provides nursing care in a hospital to a variety of patients with health problems ranging from simple to complex.Responsibilities listed ...[show_more]
    [last_updated.last_updated_30]
    Center Manager in Training - Relocation Required

    Center Manager in Training - Relocation Required

    Veterans Staffing • Oklahoma City, OK, US
    [job_card.full_time]
    Senior Operations Management Trainee (Senior OMT).Every day at BioLife, we feel good knowing that what we do helps improve the lives of patients with rare diseases. While you focus on our donors, we...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Travel Nurse RN - Behavioral Health - $1,370 per week in Lawton, OK

    Travel Nurse RN - Behavioral Health - $1,370 per week in Lawton, OK

    TravelNurseSource • Oklahoma City, Oklahoma, US
    [job_card.full_time]
    TravelNurseSource is working with GetMed Staffing to find a qualified Behavioral Health RN in Lawton, Oklahoma, 73505!.GetMed Staffing is searching for a strong Psych / Behavioral Health RN to assist...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Director of the Division of Endocrinology, Diabetes and Metabolism

    Director of the Division of Endocrinology, Diabetes and Metabolism

    The University of Oklahoma College of Medicine and OU Health • Oklahoma City, US
    [job_card.full_time]
    The University of Oklahoma College of Medicine (OUCM) Department of Internal Medicine seeks an accomplished academic endocrinologist to lead the Division of Diabetes, Endocrinology, and Metabolism....[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    RN Clinical Manager

    RN Clinical Manager

    Amedisys • Oklahoma City, OK, United States
    [job_card.full_time]
    RN Clinical Manager - Home Health.Are you looking for a rewarding career in homecare? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Director of Clinical Strategy

    Director of Clinical Strategy

    Oklahoma Department of Mental Health and Substance Abuse Services • Oklahoma City, OK, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Director of Clinical Strategy Overview : .The Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) is seeking an experienced and strategic leader to join our team!.This directo...[show_more]
    [last_updated.last_updated_variable_hours] • [new]
    Manager- Authorizations

    Manager- Authorizations

    Oklahoma Heart Hospital • Oklahoma City, OK, United States
    [job_card.full_time]
    Join Our Team at Oklahoma Heart Hospital (OHH).At OHH, we believe that patient care is truly at the heart of everything we do. Our dedicated team members are involved in every step of our patients' ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Manager, Workforce Strategy & Operations

    Senior Manager, Workforce Strategy & Operations

    Healthmap Solutions • Oklahoma City, OK, US
    [job_card.full_time]
    Senior Manager, Workforce Strategy & Operations.Position at Healthmap Solutions.Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particu...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Health Provider Consulting Manager

    Health Provider Consulting Manager

    Oklahoma Staffing • Oklahoma City, OK, US
    [job_card.full_time]
    Health Provider Consulting Manager.Consulting Manager, you will make an impact by driving client engagement, leading teams, and delivering contextual solutions that address complex business challen...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]