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# Manager, Network Management (National Health Systems)

- **Company:** CVS Health
- **Location:** Home Township, MI, United States (Remote available)
- **Experience:** Expert
- **Salary:** $54,300.0 - $159,120.0
- **Contract:** Permanent contract
- **Skills:** Local Area Networks, Network Administration, Patient Management Software
- **Published:** September 2, 2026
- **Apply:** https://jobs.mitalent.org/job-seeker/job-details/JobCode/405597925

## About the Role

* 5+ years of provider contracting, claims management, or patient management experience.
 * 5+ experience working with/or in a Claims environment
 * 5+ experience that includes ACAS and HRP claim platforms, products, and benefits; patient management, provider relations, or claims management.

?

Preferred Qualification

 * Experience with Aetna systems (SCM, Smart Front End, Rate Inquiry, Contract Inquiry)

Education

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

## Description

Constructs negotiation, execution, review, and analysis of contracts. Delivers dispute resolution and settlement negotiations with providers. Ensures contract performance aligns with accessibility, compliance, quality, financial, and cost goals.

 * Develop,maintain, and enhance working relationships with physicians/providers and local network and patient management teams in the markets with Aetna.
 * Establishes and implements programs and innovative initiatives for the organization to advance Contract Negotiations initiatives.
 * Forecastschangeswithin the Contract Negotiations industry, conducts business impact assessments, and develops modification strategies with the aid of process improvement methodologies.
 * ntegrates cross-functional collaboration to contribute to provider compensation and pricing development activities and recommendations for negotiations and reimbursement modeling activities.
 * Determinesrecommendations to manage cost issues and support cost-saving initiatives and settlement activities.
 * Assistsin the management of network development, maintenance, and refinement activities and strategies in support of cross-market network management units.
 * Coaches more junior colleagues in techniques, processes, and responsibilities.
 * Other duties and responsibilities as assigned bymanager.


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