Network Configuration Specialist

Job not on LinkedIn

🕒 August 5

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $47k - $122.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 40%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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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 • 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 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 junior colleagues on techniques, processes, and responsibilities • 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 • Microsoft Excel and SQL • Ability to work standard business hours Monday-Friday supporting Central Standard Time • High school diploma or GED • Ability to effectively participate in a multi-disciplinary team including internal and external participants • Ability to use critical thinking skills to analyze claims, contracts, and state regulations for configuration • Strong customer service skills • Working knowledge of planning, delivering, and supporting • 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 drive own growth • Bachelor's degree or specialized training/certification (preferred)

🏖️ Benefits

• 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 in addition to base pay