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Network Relations Senior Analyst

2 months ago

Carson City, Nevada, United States CVS Health Full time
Job Summary

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.
Requirements
  • 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.
Preferred Qualifications
  • Strong verbal and written communication, interpersonal, problem resolution, and critical thinking skills.
Education
  • 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.