Network Management – Contracting Business Manager

Vaga não está no LinkedIn

🕒 Novembro 2

🐎 Kentucky – Remoto

🐎 Kentucky – Remote

💵 $54.300 - $119.340 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

👔 Gerente

👻 Score fantasma 0%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 9 dias.
• As vagas desta empresa costumam ser preenchidas em 21 dias.

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CVS Health Careers

SiteLinkedInTodas as Vagas

10.000+ funcionários

🏥 Saúde

🛒 Varejo

📦 Logística

Healthcare • Retail • Logistics

CVS Health Careers é a área de recrutamento e employer branding da CVS Health, apresentando oportunidades de trabalho em diversas áreas da empresa — lojas de varejo farmacêutico, serviços de farmácia, clínicas de saúde, centros de distribuição, funções corporativas e transporte. O site de carreiras destaca um trabalho orientado por propósito, focado em melhorar o acesso, a acessibilidade financeira e a qualidade dos cuidados de saúde, além de apresentar uma grande força de trabalho (mais de 300. 000 funcionários), uma cultura inclusiva, benefícios e recursos de contratação para candidatos.

Descrição

• Provide analytical, reporting, and operational support across Network Management, Provider Engagement, and Contracting functions • Support preparation, analysis, tracking, and submission of state, regulatory, and accreditation-related network reports • Monitor reporting requirements, findings, approvals, corrective actions, and committee activities • Maintain documentation and supporting evidence for regulatory and audit readiness • Coordinate and monitor network-related projects and enterprise initiatives • Analyze network adequacy and accessibility across provider types • Evaluate geographic access, availability, utilization, compliance regulations, out-of-network activity, and network performance indicators • Identify network gaps, trends, risks, and improvement opportunities • Support development and monitoring of action plans • Identify workflow gaps and improve network and contracting operations • Recommend and measure process-improvement initiatives

🎯 Requisitos

• 5 years of experience as a Business Analyst, Data Analyst, or Data-focused Product Owner • Experience with data governance and quality initiatives • Ability to navigate complex systems, applications, and data structures • Ability to troubleshoot technical issues, identify root causes, and drive timely resolution • Ability to prioritize competing work based on business and client needs • Must reside in Kentucky • Travel may be required based on business needs • Strong proficiency in Microsoft Office Suite, including Excel, Word, and PowerPoint • 3 to 5 years of healthcare experience, including claims data formats, risk adjustment methodologies, and provider network management (preferred) • Prior project management experience (preferred) • Ability to trace data from generation and ingestion to systems and reporting (preferred) • SQL proficiency, including writing queries for investigation, root cause analysis, and reporting logic (preferred) • Bachelor's degree, or equivalent combination of education and professional experience

🏖️ Benefícios

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program eligibility

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