Senior Analyst, Network Relations

CVS Health

2.7

(75)

NJ (Remote)

Why you should apply for a job to CVS Health:

  • 62% say women are treated fairly and equally to men
  • 52% say the CEO supports gender diversity
  • Ratings are based on anonymous reviews by Fairygodboss members.

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    Position summary

    and provider education need.

    Required Qualifications
    • 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
    • Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships.
    • Monitors service capabilities and collaborates cross functionally to ensure that the needs of constituents are met and that escalated issues related but not limited to, claims payment, contract interpretation or

    parameters, and accuracy of provider contract or demographic

    information are resolved.
    • Supports or assists with operational activities that may include, but are not limited to, 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

    contracts or provider demographic updates.
    Preferred Qualifications

    • 3+ years' experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation.

    • Preference is for candidate to reside in New York State and have

    knowledge of providers in the upstate New York market region.Education

    Bachelors degree or equivalent combination of education and experience.Anticipated Weekly Hours
    40Time Type
    Full timePay Range

    The typical pay range for this role is:$46,988.00 - $122,400.00This 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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

    • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an 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.

    For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 12/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

    Why you should apply for a job to CVS Health:

  • 62% say women are treated fairly and equally to men
  • 52% say the CEO supports gender diversity
  • Ratings are based on anonymous reviews by Fairygodboss members.