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Senior Analyst, Network Relations

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Work At Home, Pennsylvania

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Category:
Health and Beauty

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Contract Type:
Employment contract

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Salary:

46988.00 - 102000.00 USD / Year

Job Description:

At CVS Health, we’re building a world of health around every consumer. This role is responsible for maintaining relationships with high-profile providers or groups, resolving complex issues, ensuring compliance, and supporting operational activities.

Job Responsibility:

  • Acts as the primary resource for assigned, high profile providers or groups to establish, oversee, and maintain positive relationships
  • Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships
  • Monitors service capabilities and collaborates cross functionally to ensure that the needs of constituents are met and that escalated issues are resolved
  • Supports or assists with business partner and operational activities that may include, database management, introduction and expansion of programs, medical record retrieval, and contract coordination
  • Performs credentialing support activities as needed
  • Educates providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures
  • Meets virtually or in person with key providers periodically to ensure service levels are meeting expectations
  • Manages the development of meeting agendas, validates materials, coordinates business partner meeting attendance, maintains meeting minutes and facilitates external provider meetings
  • May collaborate cross-functionally on the implementation of contracts or provider demographic updates
  • Assists with standard provider recruitment, contracting, or re-contracting activities

Requirements:

  • Working knowledge of business segment specific billing codes, plan products, and terminology
  • 3+ years' experience in business segment environment servicing providers with exposure to benefits, credentialing, experience with claims and billing and/or contract interpretation
  • Strong verbal and written communication, interpersonal, problem resolution, presentation and critical thinking skills

Nice to have:

5+ years' experience in business segment environment servicing providers with exposure to benefits, credentialing, experience with claims and billing and/or contract interpretation

What we offer:
  • Affordable medical plan options
  • 401(k) plan including matching company contributions
  • employee stock purchase plan
  • no-cost programs including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • benefit solutions like paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access

Additional Information:

Job Posted:
March 20, 2025

Expiration:
April 22, 2025

Employment Type:
Fulltime
Work Type:
Remote work
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