Senior Network Relations Analyst

CVS Health

Senior Analyst responsible for maintaining critical provider information and inquiries in healthcare. Collaborates with internal and external partners to ensure timely responses and validations.

Posted 6/19/2026full-timeRemote • Illinois • 🇺🇸 United StatesSenior💰 $46,988 - $112,200 per yearWebsite

About the role

Key responsibilities & impact

responsible for the accurate and timely validation and maintenance of critical provider information and inquiries
responsible for timely review, response, tracking, and routing of provider inquiries received via the Provider Engagement department email box and/or Provider Relationship Management System
works closely with both internal and external business partners to ensure Provider inquiries are handled within a timely manner
responsible for reviewing claims data and information
responsible for monthly Access and Availability monitoring as required by state regulatory requirements
oversees receipt of and coordinates provider inquiries from the provider network and responsible for reviewing, documenting, tracking, and routing all issues to ensure providers receive a timely response and permanent resolution
reviews/analyzes data by applying job knowledge and experience to ensure appropriate information has been provided
audits Rosters received in the provider relations department email box and works closely with the data team to ensure rosters submitted from providers are accurate
oversees Access & Availability monthly monitoring process
responsible for reviewing claims data in QNXT when provider’s inquiry involves claims payment adjudication
conducts or participates in special projects and other duties as assigned.

Requirements

What you’ll need

A minimum of 2-4 years of experience in healthcare operations, provider services, claims support, or payer-related administrative roles
Working knowledge of healthcare claims processes, provider data management, and payer-provider interactions
Strong attention to detail with the ability to validate provider data accurately
Ability to manage multiple requests concurrently while meeting service-level expectations
Strong written communication skills and ability to document work clearly and accurately
Experience in Medical Terminology, CPT, ICD-10 codes, etc.
Experience working with the MS Office suite.

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

healthcare operationsprovider servicesclaims supportpayer-related administrative roleshealthcare claims processesprovider data managementMedical TerminologyCPTICD-10 codesQNXT

Soft Skills

attention to detailability to manage multiple requestsstrong written communicationability to document work clearly