Senior Analyst, Network Operations
3 weeks ago
CCV Health Network Operations ConsultantAt CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.The Contract Consulting Unit (CCU) serves as the primary resource for supporting the company's medical provider contracting activities. Our main internal customers are Network Management staff members responsible for establishing contracts with medical providers. The CCU Network Operations Consultant plays a key role in:- Providing contract development guidance, reviews, implementation, and ongoing maintenance support.- Assisting with the selection of appropriate contract documents and compensation schedules housed in SCM.- Reviewing contract language using company resources such as documented contract guidelines, compensation schedule performance tools, and reimbursement policies.- Connecting with cross-functional department SMEs and leveraging web links and subject matter experts.- Performing contract reviews for compliance with contracting requirements, policies, and approvals.- Routing and tracking contract activities to ensure timely implementation into provider databases and payment systems.- Assisting with claim inquiries by interpreting contract intent and validating contract corrections.- Supporting the development of regional policies, job aids, and workflows.- Participating in special projects and workgroups.Required Qualifications:- General knowledge of provider compensation methods, coding, and billing (e.g., per diems, case rates, stop loss, revenue codes, DRGs, CPT-4).- Experience in Microsoft Word and Excel.- Strong communication, customer service, critical thinking, problem-solving, and interpersonal skills.Preferred Qualifications:- Experience and knowledge of Strategic Contract Manager (SCM).- Familiarity with Adobe software.Education:- Bachelor's degree or equivalent experience.Anticipated Weekly Hours: 40Time Type: Full timePay Range: The typical pay range for this role is: $46,988.00 - $122,400.00Our 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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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Senior Analyst, Revenue Cycle
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Little Rock, United States Ascend Technologies Full timeSenior Network Engineer-Little Rock, AR Candidates for this position must be based in the Little Rock metropolitan area. This is a mostly remote position but will require occasional on-site client support. Relocation will not be provided. PURPOSE This position’s primary responsibility is to provide operational...
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