Senior Network Relations Analyst
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Texas • United States
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Salary
💰 $46,988 - $102,000 per year
Job Level
About the role
- Acts as the primary resource for assigned, providers or groups to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs
- 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 and that escalated issues are resolved
- Supports or assists with operational activities such as 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 to 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
- Conduct standard provider recruitment, contracting, or re-contracting activities and assist with more complex contracting and discussions as needed by business segment
- May provide guidance and training to less experienced team members
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
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
database managementcredentialing supportcontract coordinationprovider recruitmentcontractingplan designpolicy interpretationbenefits knowledgeproblem resolutioncritical thinking
Soft skills
verbal communicationwritten communicationinterpersonal skillsproblem resolution skillscritical thinking skills