Senior Analyst, Network Relations

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🔥 1 minute ago

🌲 North Carolina – Remote

🌲 North Carolina – Remote

💵 $47k - $91.8k / year

⏰ Full Time

🟠 Senior

🛜 Network Engineer / Network Administrator

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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 liaison for assigned geography of integrated providers • Conducts provider education, ensures contract compliance, provider communication, claims research and assists with resolution • Implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets

🎯 Requirements

• 3-5 years of provider relations and/or network management experience required • Must be experienced in working with all reimbursement payment methodologies • Experienced in working with large provider groups, capitated agreements, behavioral health provider • Must have excellent written, oral, and interpersonal communication skills • Computer literate in Word, Excel, Microsoft Office • Must be flexible and able to handle a highly, fast-paced environment • Knowledge of Medicare programs • Knowledge of various Behavioral Health and Commercial payment methodologies • Medical claims processing knowledge • Experience working within Provider Databases (i.e. EPDB) a plus • Critical thinking, problem resolution and ability to work independently • Excellent time management skills

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package designed to support physical, emotional, and financial well-being of colleagues and their families