Manager, Network Relations (Philadelphia & Delaware County)

Clinical Careers Page(1 month ago)

PennsylvaniaOnsiteFull TimeMedior$60,300 - $132,600Provider Relations

About this role

A Provider Relations role supporting Medicaid providers within CVS Health, focused on fostering strong relationships between the health plan and high-profile local providers and groups. The position acts as a primary liaison for Medicaid policy, plan design, and provider engagement, helping ensure network stability and alignment with regulatory standards. This is a field-based role serving the Pennsylvania market and supporting provider experience and compliance.

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Required Skills

Provider Relations
Medicaid
Contract Interpretation
Claims Management
Credentialing
Provider Education
Communication
Problem Solving
Stakeholder Management
Reporting

Qualifications

Bachelor's Degree

About Clinical Careers Page

cvshealth.com

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.

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