Senior Manager, Network Management; Keystone Market

Position Summary

Negotiates, executes, and conducts high-level review and analysis, dispute resolution, and settlement negotiations of contracts with large, complex provider systems. Maintains and enhances provider networks while meeting accessibility, quality, and financial goals, and supports cost‑saving initiatives in alignment with company standards and regulatory requirements.

• Negotiate, execute, and analyze complex provider contracts, including dispute resolution and settlement negotiations
• Manage contract performance and support value-based arrangements aligned to business strategy
• Drive network expansion and adequacy through provider recruitment and targeted strategies
• Accountable for cost arrangements and aligning contracts with financial goals
• Collaborate cross‑functionally on pricing, compensation, and reimbursement modeling activities
• Conduct contract analysis to identify cost savings and optimization opportunities
• Resolve escalated issues including claims, contract interpretation, and provider data accuracy
• Ensure compliance with regulatory requirements and company standards
• Serve as SME and provide guidance to team members
• Support network development and strategic configuration initiatives

• 7–10 years of experience in healthcare contracting or network management
• Strong understanding of provider financials and reimbursement methodologies
• Proven negotiation, communication, and cross‑functional collaboration skills

• Familiarity with the Keystone market
• Experience working with Aetna internal systems
• Strong proficiency in Microsoft Office applications
• Background in value‑based care agreements
• Experience across Commercial, Medicare, and Medicaid lines of business

Bachelor’s Degree preferred or a combination of professional work experience and education.

The typical pay range for this role is: $75,400.00 – $. 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.

• Medical coverage
• Dental coverage
• Vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility

The candidate must sit in PA or DE states.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Application window will close on: 07/18/2026.