Manager Provider Data - QuickBase
Bring your heart to CVS Health.
Every 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.
At Aetna Better Health of Texas, we are committed to helping people on their path to better health. By taking a total and connected approach to health, we guide and support our members so they can get more out of life, every day. We are looking for people like you who value excellence, integrity, caring and innovation. As an employee, youll join a team dedicated to improving the lives of Texas members. We value diversity and are dedicated to helping you achieve your career goals.
Position Summary
In this Network Relations Manager role, you will act as the primary resource for an assigned profile of larger and more complex providers (i.e. market/ regional/ national, large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and support high value initiative activities.
You Will
Drive the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.
Have limited contract negotiation responsibilities for assigned providers.
Manage and maintain the data quality during network development lifecycle.
Perform complex analysis on large data sets.
Required Qualifications
Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills with proven ability to influence and collaborate with providers and partners at all levels.
2 years of advanced QuickBase skills (the ability to write code and formulas for advance QuickBase design and reporting)
4+ years' experience in business segment specific environment servicing or managing non-standard relationships with providers with exposure to benefit plan design and/or contract interpretation.
3-5 years' experience with business segment specific policy, benefits, plan design and language.
Working knowledge of business segment specific codes, products, and terminology.
At least 1 year of experience supervising or managing a production-oriented team.
Preferred Qualifications
Proven advanced problem-solving skills, proven independent worker and self-starter.
Demonstration of meeting leadership skills and meeting management.
Demonstration of experiential or educational project management skills.
Ability to evaluate data and identify action plans or solutions based on data.
Ability to handle conflict management.
Ability to educate an outcome or position even if unfavorable.
Education
Bachelors Degree or equivalent combination of education and experience
Pay Range
The Typical Pay Range For This Role Is
$54,300.00 - $152,600.00
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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Companys 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
We anticipate the application window for this opening will close on: 10/05/2024
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws
Apply Now
Every 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.
At Aetna Better Health of Texas, we are committed to helping people on their path to better health. By taking a total and connected approach to health, we guide and support our members so they can get more out of life, every day. We are looking for people like you who value excellence, integrity, caring and innovation. As an employee, youll join a team dedicated to improving the lives of Texas members. We value diversity and are dedicated to helping you achieve your career goals.
Position Summary
In this Network Relations Manager role, you will act as the primary resource for an assigned profile of larger and more complex providers (i.e. market/ regional/ national, large group or hospital systems) to establish, oversee, and maintain provider risk management and positive relationships and support high value initiative activities.
You Will
Drive the implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.
Have limited contract negotiation responsibilities for assigned providers.
Manage and maintain the data quality during network development lifecycle.
Perform complex analysis on large data sets.
Required Qualifications
Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills with proven ability to influence and collaborate with providers and partners at all levels.
2 years of advanced QuickBase skills (the ability to write code and formulas for advance QuickBase design and reporting)
4+ years' experience in business segment specific environment servicing or managing non-standard relationships with providers with exposure to benefit plan design and/or contract interpretation.
3-5 years' experience with business segment specific policy, benefits, plan design and language.
Working knowledge of business segment specific codes, products, and terminology.
At least 1 year of experience supervising or managing a production-oriented team.
Preferred Qualifications
Proven advanced problem-solving skills, proven independent worker and self-starter.
Demonstration of meeting leadership skills and meeting management.
Demonstration of experiential or educational project management skills.
Ability to evaluate data and identify action plans or solutions based on data.
Ability to handle conflict management.
Ability to educate an outcome or position even if unfavorable.
Education
Bachelors Degree or equivalent combination of education and experience
Pay Range
The Typical Pay Range For This Role Is
$54,300.00 - $152,600.00
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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Companys 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
We anticipate the application window for this opening will close on: 10/05/2024
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws
Apply Now