Negotiator Analyst, Level I
CVS Health
full-time
Posted on:
Location Type: Remote
Location: Idaho • Minnesota • United States
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Salary
💰 $46,988 - $122,400 per year
About the role
- Negotiate out-of-network (OON) medical claims valued at $10,000 and above
- Learn the negotiation role and understand (U&C) calculated rates and benchmarking of medical costs
- Develop role as a negotiator, working with training staff and team members
- Conduct checklist workups and manage outbound communications via phone, fax, and email to facilitate negotiations
- Work up and organize daily cases
- Make outbound calls and develop provider contacts
Requirements
- 3-5 years of experience in a medical claim background
- Strong understanding of benchmarking costs for medical services, supplies, and drugs
- Previous medical provider/business office phone call handling history
- Strengths in mathematical, written, and verbal skills
- Coding experience, CMS, and/or CPC Certification (preferred)
- Proficient in Usual and Customary (calculations) and cost-benchmarking for drugs, supplies, and services
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
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
negotiationmedical claimsbenchmarkingcost-benchmarkingUsual and Customary calculationscodingmathematical skillswritten communicationverbal communication
Soft Skills
organizational skillsteam collaborationoutbound communication
Certifications
CPC Certification