Senior Analyst, Network Relations

Job not on LinkedIn

November 19

🗽 New York – Remote

Although this job is listed in New York, this company may be open to hiring remote in other states.

💵 $47k - $122.4k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

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CVS Health

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Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

📋 Description

• Acts as the primary resource for assigned, high profile providers or groups to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education need.

🎯 Requirements

• Working knowledge of business segment specific codes, products, and terminology. • 3-5 years' experience with business segment specific policy, benefits, plan design and language. • Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills • Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships. • Monitors service capabilities and collaborates cross functionally to ensure that the needs of constituents are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. • Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination. • Performs credentialing support activities as needed. • Educates providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures. • Meets with key providers periodically to ensure service levels are meeting expectations. • Manages the development of agenda, validates materials, and facilitates external provider meetings. • May collaborate cross-functionally on the implementation of contracts or provider demographic updates.

🏖️ Benefits

• Affordable medical plan options • 401(k) plan (including matching company contributions) • 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.