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Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Manager Network & Operations - **Company:** CVS Health - **Location:** United States (Remote available) - **Experience:** Experienced - **Salary:** $60,300.0 - $132,600.0 - **Contract:** Permanent contract - **Skills:** Microsoft Excel, Databases, Network Administration, Web Applications, Computer Network Operations, Adobe, Quickbase - **Published:** July 8, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=c3024d43f67382f5 ## About the Role The ideal candidate is a highly motivated self-starter who excels in a fast-paced, cross-functional environment with knowledge of contracting methodologies, provider relations, database management, and contract compliance., * 5+ years of experience in a health insurance/healthcare environment. * 2+ years working knowledge of SCM Web Application and familiarity with the documents housed in SCM and Aetna contract systems. * 3-5 years contract implementation, network operations, negotiation, provider data service, provider relations, and/or claims experience. * Strong communication, customer service, critical thinking, problem resolution and interpersonal skills. * Proven ability to collaborate cross-functionally to support provider network management initiatives. * Demonstrated ability to manage multiple projects simultaneously, work independently as well as in a team environment and cross functionally across the broader organization. Preferred Qualifications * General knowledge of provider compensation methods, coding and billing (per diems, case rates, stop loss, revenue codes, DRGs, CPT-4). * Experience in healthcare network management, provider contracting, and managed care reimbursement. * Understanding of 340B drug pricing, AWP and WAC drug reimbursement methodologies as well as global bundled contracting arrangements. * Strong working knowledge of healthcare business segments, products, and industry terminology. * Excellent communication skills, with experience handling complex provider relationships and operational issues. * Systems knowledge: Quickbase, Excel, Adobe sign Education Bachelor's degree preferred/specialized training/relevant professional qualifications ## Description The Network Manager is responsible for supporting and enhancing national provider networks for Gene, Cellular and Innovative Therapies (GCIT®) and Institutes of Excellence (IOE®) transplant services and operations. This role serves as a subject matter expert in contract implementation, network operations, managing complex contract data, ensuring accuracy and alignment with organizational goals and supporting provider recruitment and negotiation activities. It involves collaborating across clinical, legal, sales, and network teams to align strategies and improve network performance. The position focuses on maintaining high-quality, accessible, and cost-effective networks while tracking and reporting program performance. Overall, the role plays a key part in expanding access to innovative, life-changing treatments through strong operational execution and cross-functional coordination., * Serve as a subject matter expert in provider contract setup demonstrating a strong understanding of Strategic Contract Management (SCM). * Manage and process contract documents and data to ensure accuracy, compliance, and integrity. * Administer Quick Base database tracking and reporting activities, support ACAS table maintenance, EDPB provider flagging and provider directory processes. * Collaborate with clinical, legal, sales, and network teams to drive aligned execution and program success. * Serve as the primary point of contact for the Special Case Customer Service Unit (SCCU), National Medical Excellence (NME), and other internal and external stakeholders related to IOE and GCIT operations. * Partner with IOE/GCIT network contracting teams to negotiate and establish contractual terms and conditions with network providers, ensuring alignment with organizational goals and objectives. * Support negotiations of non-participating gene/cellular therapy and transplant services including drafting and processing single-case agreements, while adhering to cost parameters and ensuring savings achievement initiatives (SAI). * Track, analyze, and report on network performance and program metrics. * Partner cross-functionally with the National Medical Excellence (NME) and Specialty Precertification Unit (SPU) clinical teams and other departments (MEU, SCCU, Legal, Compliance, Account Management, etc.) to drive consistent strategies and processes. ## Related Videos - [ZEISS & Microsoft - Building the Next Generation Medical Ecosystem in the Cloud](https://www.wearedevelopers.com/videos/424-zeiss-microsoft-building-the-next-generation-medical-ecosystem-in-the-cloud) - [3x Performance: A Humbling Journey](https://www.wearedevelopers.com/videos/100165-3x-performance-a-humbling-journey) - [Kubernetes and Microservices with Multi-Model Databases](https://www.wearedevelopers.com/videos/382-kubernetes-and-microservices-with-multi-model-databases) - [Building Talent Acquisitions Teams](https://www.wearedevelopers.com/videos/1496-building-talent-acquisitions-teams) - [Fault Tolerance and Consistency at Scale: Harnessing the Power of Distributed SQL Databases](https://www.wearedevelopers.com/videos/1146-fault-tolerance-and-consistency-at-scale-harnessing-the-power-of-distributed-sql-databases) - [NoCode LiveCode: Leveraging AI Tools to Craft Fully Functional Apps!](https://www.wearedevelopers.com/videos/1169-nocode-livecode-leveraging-ai-tools-to-craft-fully-functional-apps) ## Related Articles - [The Best Job Search Websites of 2025](https://www.wearedevelopers.com/magazine/368-the-best-job-search-websites-of-2025) - [Highest Paying Tech Companies for Developers](https://www.wearedevelopers.com/magazine/220-highest-paying-tech-companies-for-developers) - [Quick guide: How to write a Software Developer CV](https://www.wearedevelopers.com/magazine/37-quick-guide-how-to-write-a-software-developer-cv) - [Best Job Boards for Remote Work for Developers](https://www.wearedevelopers.com/magazine/290-best-job-boards-for-remote-work-for-developers) - [Highest Paying Tech Companies in Europe](https://www.wearedevelopers.com/magazine/162-highest-paying-tech-companies-in-europe) - [How to land a developer job in Amsterdam](https://www.wearedevelopers.com/magazine/36-how-to-land-a-developer-job-in-amsterdam)