Network Configuration Specialist

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🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $47k - $122.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🛜 Network Engineer / Network Administrator

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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

• Establish and implement results-based programs and innovative initiatives for network operations under general supervision • Provide feedback for decisions and innovation strategies to enhance organizational growth and visibility • Review, design, load, and audit complex contracts, agreements, amendments, and fee schedules in contract management systems • Conduct research, analysis, and audits to identify issues and propose solutions protecting data, contract integrity, and performance • Provide technical expertise on contracting-related questions, systems, and information • Coordinate complex contracting activities and implementation • Receive and process contracts and documentation • Perform pre- and post-signature contract reviews and language modifications • Coach more junior colleagues on techniques, processes, and responsibilities • Support provider network enhancement, recruitment efforts, and negotiations as needed • Perform other duties as needed

🎯 Requirements

• 3–5 years of experience working with Medicaid and claims • Demonstrated computer literacy • Ability to navigate internal and external computer systems • Experience with Microsoft Excel and SQL • Ability to work Monday–Friday during standard business hours supporting Central Standard Time • Ability to participate effectively in multidisciplinary teams with internal and external participants • Ability to analyze claims, contracts, and state regulations for configuration using critical thinking • Strong customer service skills • Working knowledge of planning, delivering, and supporting execution and delivery • Working knowledge of business intelligence • Strong problem-solving and decision-making skills • Ability to collaborate within a team and interdepartmentally • Ability to self-motivate and regularly drive personal growth • High school diploma or GED • Bachelor’s degree or specialized training/certification preferred

🏖️ Benefits

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