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Network Relations Senior Analyst
1 month ago
CVS Health is seeking a highly skilled Network Relations Senior Analyst to join our team. As a key member of our organization, you will play a critical role in establishing and maintaining positive relationships with assigned providers and internal business partners.
Key Responsibilities- Optimize interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships.
- Monitor service capabilities and collaborate cross-functionally to ensure that the needs of constituents are met and that escalated issues related to claims payment, contract interpretation, or accuracy of provider contract or demographic information are resolved.
- Support or assist with operational activities, including database management and contract coordination.
- Perform credentialing support activities as needed.
- Educate providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures.
- Meet with key providers periodically to ensure service levels are meeting expectations.
- Manage the development of agenda, validate materials, and facilitate external provider meetings.
- Collaborate cross-functionally on the implementation of large provider systems to manage cost drivers and execute specific cost initiatives to support business objectives and identify trends and enlist assistance in problem resolution.
- Conduct standard provider recruitment, contracting, or recontracting activities and assist with more complex contracting and discussions as needed by business segment.
- Provide guidance and training to less experienced team members.
- 3-5 years of experience in healthcare terminology and medical product lines.
- 3-5 years of Microsoft Applications experience.
- Ability to travel up to 25% in designated Market.
- Strong verbal and written communication, interpersonal, problem resolution, and critical thinking skills.
- Bachelor's Degree or equivalent combination of education and experience.
The typical pay range for this role is $46, $91,800.00. 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.
CVS Health offers a comprehensive benefits package, including medical, dental, and vision benefits, a 401(k) retirement savings plan, and an Employee Stock Purchase Plan. Eligible employees may also participate in the Company's well-being programs, education assistance, free development courses, and discount programs with participating partners.
