Senior Network Relations Analyst

4 weeks ago


Louisville, Kentucky, United States CVS Health Full time

Job Summary

We are seeking a skilled Network Relations Specialist to join our team at CVS Health. As a key member of our team, you will be responsible for timely review, response, tracking, and routing of provider inquiries received via our provider relations department email box.

Key Responsibilities

  • Work closely with internal and external business partners to ensure provider and member issues are handled timely.
  • Review and analyze data to ensure appropriate information has been provided.
  • Conduct provider outreach when needed to gather information.
  • Collaborate with other departments to ensure key provider reimbursement methodologies and provisions are administratively supported.
  • Support operational activities, including database management and contract coordination.

Requirements

  • Working knowledge of business segment specific codes, products, and terminology related to working with the provider community.
  • Strong verbal and written communication, interpersonal, problem resolution, and critical thinking skills.
  • Detail-oriented and focused on results.
  • Ability to travel in your assigned region a minimum of 25% of the time.
  • Project Management Skills.

Preferred Qualifications

  • 1+ years' experience with KY Medicaid.
  • Experience in Medical Terminology, CPT, ICD-9 codes, etc.
  • Positive attitude.

About CVS Health

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.



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