> Markdown version of [/jobs/ext/2875302-manager-network-relations](https://www.wearedevelopers.com/jobs/ext/2875302-manager-network-relations). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md).

---

# Manager, Network Relations

- **Company:** CVS Health
- **Location:** Irving, TX, United States
- **Experience:** Experienced
- **Salary:** $60,300.0 - $132,600.0
- **Contract:** Permanent contract
- **Skills:** Access Network, Desktop Computing
- **Published:** September 13, 2026
- **Apply:** https://dejobs.org/x/x/86E9BB9066FD473592C8B200F6A89008/job/

## About the Role

* A minimum of 5 years' work experience in healthcare.
 * Minimum of 3 years' experience in Medicaid Managed Care business segment environment servicing providers with exposure to benefits and/or contract interpretation.
 * Working knowledge of business segment specific codes, products, and terminology.
 * Travel within the defined territory up to 50-80% of the time.
 * Must reside in Dallas/ Fort Worth Metroplex

Preferred Qualifications

 * Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals & Disputes, and Network Performance Standards.
 * Experience in Medical Terminology, CPT, ICD-10 codes, etc.

Education

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

## Description

Acts as the primary resource for assigned, high profile providers and/or groups (i.e. local, individual providers, small groups/systems) to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs.

 * Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships.
 * Monitors service capabilities and collaborate cross- functionally to ensure that the needs of constituents are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved.
 * Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination.
 * Performs credentialing support activities as needed.
 * Educates Medicaid providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures.
 * Meets with key Providers at regular intervals to ensure service levels meet expectations.
 * Manages the development of agenda, validates materials, and facilitates external provider meetings.
 * Collaborate cross-functionally with the implementation of large provider systems, to manage cost drivers and execute specific cost initiatives to support business objectives and to identify trends and enlist assistance in problem resolution.
 * May provide guidance and training to less experienced team members.
 * Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills.
 * Collaborate with Provider Enablement & Strategy on Provider-facing communications, desktops, workflows, external trainings, reporting needs, and HUB support.
 * Other duties as assigned.


## Related Videos

- [WebAssembly Revolution: Elevating JavaScript's Reach and Performance](https://www.wearedevelopers.com/videos/1149-webassembly-revolution-elevating-javascript-s-reach-and-performance)
- [Small, Secure, Interconnected: The next Internet Protocol](https://www.wearedevelopers.com/videos/100062-small-secure-interconnected-the-next-internet-protocol)
- [Closing Keynote by Joel Spolsky](https://www.wearedevelopers.com/videos/615-closing-keynote-by-joel-spolsky)
- [Cyber Sleuth: Finding Hidden Connections in Cyber Data](https://www.wearedevelopers.com/videos/893-cyber-sleuth-finding-hidden-connections-in-cyber-data)
- [Go's Concurrency and Parallelism Inside Containers](https://www.wearedevelopers.com/videos/100058-go-s-concurrency-and-parallelism-inside-containers)
- [Kubernetes Security Best Practices](https://www.wearedevelopers.com/videos/1411-kubernetes-security-best-practices)

## Related Articles

- [What’s the Difference between a Junior, Mid, and Senior Developer?](https://www.wearedevelopers.com/magazine/238-what-s-the-difference-between-a-junior-mid-and-senior-developer)
- [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)
- [How to land a developer job in Amsterdam](https://www.wearedevelopers.com/magazine/36-how-to-land-a-developer-job-in-amsterdam)
- [System change: restart as developer?](https://www.wearedevelopers.com/magazine/39-system-change-restart-as-developer)
- [Basic And Advanced Networking in Dart and Flutter](https://www.wearedevelopers.com/magazine/112-basic-and-advanced-networking-in-dart-and-flutter)