Senior Manager, Network Management (Remote)

Company: C Vs Pharmacy
Location: San Diego
Posted on: March 19, 2023

Job Description:

Job DescriptionThis role is remote and the individual should be able to support the West Coast timezone.As part of the Behavioral Health and EAP Network team, this position is accountable for designing conceptual models, initiative planning, and negotiating high value/risk contracts with the most complex and challenging, market/region/national, largest group/system or highest value/volume of spend providers in accordance with company standards in order to maintain and enhance provider networks, while working cross functionally to ensure consistency with all contracting strategies and meeting and exceeding accessibility, quality, compliance, and financial goals and cost initiatives.Required QualificationsProven working knowledge of Behavioral Health provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements and regulatory requirements.7+ years related experience and expert level negotiation skills with successful track record negotiating contracts with individual or complex provider systems or groups, preferably in Behavioral Health.Experience in designing and negotiating value-based contracts and alternative payment models preferred.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred QualificationsExperience with behavioral health providers and programs. Previous experience contracting providers for multiple lines of business. Value based contracting.Ability to work west coast hours.Strong communication, critical thinking, problem resolution and interpersonal skills.EducationBachelor's degree or equivalent work experience.Business OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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.

Keywords: C Vs Pharmacy, San Diego , Senior Manager, Network Management (Remote), Executive , San Diego, California