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Cvs Provider Network Manager Jobs (NOW HIRING)

Memspa

$100 - $125/hr

In conjunction with the Director of Educational Technology, the Network Manager will learn the needs of the district to provide network integrity and great customer service. Responsibilities * Align ...

Zeeland Public Schools

Network Manager

Zeeland, MI

In conjunction with the Director of Educational Technology, the Network Manager will learn the needs of the district to provide network integrity and great customer service. Responsibilities: * Align ...

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How much do cvs provider network manager jobs pay per year?

As of Sep 11, 2026, the average yearly pay for cvs provider network manager in the United States is $106,570.00, according to ZipRecruiter salary data. Most workers in this role earn between $80,500.00 and $128,000.00 per year, depending on experience, location, and employer.

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For Cvs Provider Network Manager jobs, the most frequently searched job titles are:

Sutter Health Network Manager, Provider Network

Emeryville, CA • On-site

Sutter Health
Hospitals • 10K+ employees
Learn more about Sutter Healthexternal

$133K - $200K/yr

Full-time

Medical, Retirement

This job post has expired today. Applications are no longer accepted.

Sutter Health rating

8.3

Company rating: 8.3 out of 10

Based on 330 frontline employees who took The Breakroom Quiz

Job description

We are so glad you are interested in joining Sutter Health!
Organization:
SHSO-Sutter Health System Office-Bay
Position Overview:
Oversees the daily operations of the provider network contracts and information for Sutter Health. Administers, negotiates, and supervises managed care provider networks that offer health care services to commercial Health Management Organizations (HMOs), Medicare Advantage, and health plan members linked to Sutter-recognized primary care physicians. Maintains an organizational structure that meets the service, financial, and informational requirements of both internal and external customers. Creates and maintains a provider database to enable accurate claims processing and provider directories. Manages interactions between providers, the health plan, medical groups, risk bearing organizations (RBOs) and other Sutter Health provider data resources in the support of Commercial and Medicare business lines. Designs, oversees, and performs analytical projects to support operations initiatives and assists with network, operations and care management business project initiatives that further the advancement of strategic goals set forth by Sutter Health.
Job Description:
EDUCATION:
Equivalent experience will be accepted in lieu of the required degree or diploma.
  • Bachelor's: Business Administration, Health Administration, Health Education, Social Work, or related field

TYPICAL EXPERIENCE:
  • 8 years recent relevant experience

SKILLS AND KNOWLEDGE:
  • In-depth knowledge of health care contracting terminology and language, requirements, provisions, managed care risk contracting, and various reimbursement methodologies to support the development and maintenance of contract compliance, language review, and analysis.
  • Familiarity with and understanding of California Department of Managed health Care (DMHC) regulations, various health care reimbursement models, pricing mechanisms, managed care and payer relationships.
  • Knowledge of the structure of health care business including Health maintenance Organizations (HMOs) and Preferred Provider Organizations (PPOs) as well as Employee Retirement Income Security Act (ERISA) products.
  • Demonstrated knowledge of health Insurance Portability and Accountability Act (HIPAA), Health Care Reform, Business Code of Ethics, and government regulated programs.
  • Analytical and problem solving skills with the ability to determine organizational needs and to achieve corporate goals and financial objectives.
  • Exceptional project management and organization skills, including the demonstrated ability to manage and complete multiple complex projects simultaneously on time and within budget.
  • Advanced business acumen; financial expertise, solid consensus building skills, in addition to being an effective decision maker, influential negotiator, and expert delegator.
  • Expert communication (written and verbal) and interpersonal skills, presentation and negotiation competencies with the ability to lead, provide recommendations, resolve conflict, and influence decision making.
  • Proficient computer skills, including advance competency in Microsoft Office suite, Microsoft Visio, and a solid understanding of internet research, database management, and data accuracy verification techniques.
  • Operate independently, confidentially, and to garner confidence from staff, Sutter Health affiliates, and leadership.
  • Identify and resolve technical, operational and organizational problems using policies, procedures and department plan.
  • Negotiate effectively with staff, senior management, vendors, state and federal agencies, and industry organizations.
  • Foster a collaborative environment, to influence individuals or groups with diverse opinions and to enlist cooperation without direct control/authority.
  • Establish, build, and maintain collaborative and effective working relationships with peers, stakeholders, executives, diverse individuals and organizations, and regulatory agencies.

Job Shift:
Days
Schedule:
Full Time
Days of the Week:
Friday, Monday, Thursday, Tuesday, Wednesday
Weekend Requirements:
None
Benefits:
Yes
Unions:
No
Position Status:
Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $133,432.00 to $200,158.40 / annual salary
The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

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