
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.
🔥 12 hours ago
🇺🇸 United States – Remote
💵 $47k - $91.8k / year
⏰ Full Time
🟠 Senior
🌐 Network Operations
👻 Ghost score 0%
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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.
• Manage business operations for Aetna's provider network • Facilitate new provider applications • Manage provider inquiries and assistance requests • Maintain current provider data and demographic information • Make accurate decisions on processes and work direction • Identify, evaluate and act on trends impacting market objectives • Handle common and non-standard provider requests and situations • Interact cross-functionally with multiple business areas • Ensure timely completion of work • Achieve production volume and turnaround-time standards defined by department management • Focus on specific aspects of provider application, inquiry, or data integrity processes as assigned
• 3+ years' experience in Network or related business environment with exposure to provider systems, processes, etc. • Strong organizational skills with demonstrated ability to balance multiple concurrent priorities • Strong communication, critical thinking, problem resolution and interpersonal skills • Working knowledge of business systems, applications, and tools • Microsoft Office experience • Preferred: Experience working with provider data and internal systems EPDB, PDMS, PRMS, and SCM • Preferred: Strong research skills • Preferred: Ability to manage expectations, multi-task, and maintain strong internal and external relationships • Preferred: Independent thinking and strong analytical skills • Bachelor's Degree or equivalent combination of education and experience
• 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 eligibility
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