Job Title

Job Description Manages a team of external and internal provider relation liaisons. Oversees the maintenance and strengthening of working relationships with the existing provider network and assists in the recruitment of new providers. Responsible for development and maintenance of policies and procedures. Manages the development of contracts and agreements with providers and delivery systems in conjunction with network. Ensures compliance and regulatory requirements are met. Develops and implements training programs and educational materials for providers as well as internal staff. Provides assistance and support to other departments, as needed, to obtain crucial or required information from Providers, such as HEDIS, Credentialing, Grievance and Appeals, SIU, etc. Coordinates provider status information with member services and other internal departments. Provider Experience Model (PEM)Pay RangeThe typical pay range for this role is:Minimum: 75,400Maximum: 158,300Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications 3 plus years of MMP and DSNP's experience 5 plus years recent and related experience in Provider / Customer Relations 3 plus years of supervisory experience, managing direct reports with accountability of operational metrics Minimum of 3 years experience/knowledge of claims, ICD-9, ICD-10 and CPT codes desiredPreferred Qualifications Excellent interpersonal skills and the ability to work with others at all levels Excellent analytical and problem-solving skills Strong communication, negotiation and presentation skills Background in process improvement (ie. LEAN, Six Sigma) Ability to travel up to 10íucation Bachelor's degree in a closely related field or an equivalent combination of formal education and recent, related experience.Business OverviewBring your heart to CVS HealthEvery 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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.