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CVS Health

Negotiator Analyst, Level I

CVS Health

Negotiator Analyst responsible for negotiating OON medical claims at CVS Health. Developing negotiation skills and collaborating with team members on complex cases and strategies.

Posted 6/16/2026full-timeRemote • Minnesota • 🇺🇸 United StatesMid-LevelSenior💰 $43,888 - $102,081 per yearWebsite

About the role

Key responsibilities & impact
  • negotiating out-of-network (OON) medical claims valued at $10,000 and above
  • learning the negotiation role and understanding (U&C) calculated rates and benchmarking of medical costs
  • developing role as a negotiator, working with training staff, and team members
  • conducting checklist workups and managing outbound communications via phone, fax, and email
  • making outbound calls, developing provider contacts, and understanding production metrics

Requirements

What you’ll need
  • 3-5 years of experience in a medical claim background with demonstrated ability
  • 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 is preferred
  • proficient in Usual and Customary (calculations) and cost-benchmarking for drugs, supplies, and services

Benefits

Comp & perks
  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
negotiationmedical claimsbenchmarkingcost-benchmarkingUsual and Customary calculationsmathematical skillswritten communicationverbal communication
Soft Skills
team collaborationtrainingoutbound communication
Certifications
CPC Certification