About this Senior Manager, Provider Network Strategy (Louisiana) role at CVS Health
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
The Senior Manager, Network Management, serves a critical role in advancing Provider Network strategy for the Louisiana Medicaid Market. This position is essential to monitor and manage our proactive network strategy ensuring compliance with LDH and NCQA standards while optimizing cost-effective care delivery and access to care for our members.
Other duties include but not limited to:
- Support NCQA accreditation and compliance with Louisiana Dept. of Health (LDH) network standards by monitoring monthly progress towards annual network development plan objectives and providing alternative strategies to achieve at-risk goals.
- Conducts market analysis, assesses competitive positioning, and recommends strategies to identify opportunities for market growth and provider partnerships.
- Build internal pipeline of provider recruiting targets by priority and create departmental training materials on identifying appropriate targets in response to various LDH and market initiatives.
- Design NM activity dashboard to promote leadership visibility into contracting productivity, project status, and escalation requests.
- Develop and deploy engagement and change strategies that accelerate adoption of new processes, tools, and operational practices.
- Provide real-time recommendations to senior leadership to guide decision-making and ensure close alignment with the organization's strategic goals and objectives.
- Partner with matrixed leaders to diagnose organizational challenges and identify solutions that improve clarity, effectiveness, and outcomes.
Required Qualifications
- 7+ years of experience in Medicaid managed care provider contracting, provider engagement, performance management, or value-based contracting.
- Strong understanding of Medicaid provider environment and reimbursement models.
- Experience with internal / external stakeholder engagement and partnership.
- Must live in the Louisiana market
Preferred Qualifications
- Knowledge of Louisiana Medicaid landscape
- Solution-driven approach to provider challenges
- Change-enablement strategies and execution experience
- Adept at business intelligence.
Education
- Bachelor's degree or equivalent work experience
Pay Range
The typical pay range for this role is:
$67,900.00 - $149,328.00
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. This position also includes an award target in the company’s equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
