Network Relations, Senior Analyst

• Acts as the primary liaison for assigned geography of integrated providers, (i.e. market/regional/national, large group) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative activities.
• *Conducts provider education, ensures contract compliance, provider communication, claims research and assists with resolution
• *Implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.

• Must be experienced in working with all reimbursement payment methodologies
• 3-5 years of provider relations and/or network management experience required
• Experienced in working with large provider groups, capitated agreements, behavioral health provider
• Must have excellent written, oral, and interpersonal communication skills
• Computer literate in Word, Excel, Microsoft Office
• Must be flexible and able to handle a highly, fast-paced environment
• Must reside in North or South Carolina

Preferred Qualifications

• Knowledge of Medicare programs
• Knowledge of various Behavioral Health and Commercial payment methodologies
• Medical claims processing knowledge
• Experience working within Provider Databases (i.e. EPDB) a plus
• Critical thinking, problem resolution and ability to work independently
• Excellent time management skills
• Must be flexible and able to handle a highly, fast-paced environment, * Associate Degree or equivalent combination of education and experience

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.