Senior Analyst, Network Relations

Job not on LinkedIn

🕒 May 15

🤠 Texas – Remote

🤠 Texas – Remote

💵 $47k - $102k / year

⏰ Full Time

🟠 Senior

🧐 Analyst

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

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.

📋 Description

• Acts as the primary resource for assigned providers or groups to establish, oversee, and maintain positive relationships • Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships • Monitors service capabilities and collaborate cross-functionally to ensure that the needs of constituents are met • 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 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 large provider systems

🎯 Requirements

• 3+ years' experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation • 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

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility