Network Relations Senior Analyst jobs in United States
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CVS Health · 1 day ago

Network Relations Senior Analyst

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Network Relations Senior Analyst acts as the primary resource for assigned providers, overseeing relationships and addressing complex issues related to policies, procedures, and provider education needs.

Health CareMedicalPharmaceuticalRetailSales
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H1B Sponsor Likelynote

Responsibilities

Acts as the primary resource for assigned, providers or groups (i.e. local, individual providers, small groups/systems) to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs
Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships
Monitors service capabilities and collaborate 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 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 large provider systems, to manage cost drivers and execute specific cost initiatives to support business objectives and to identify trends and enlist assistance in problem resolution
Conduct standard provider recruitment, contracting, or re-contracting activities and assist with more complex contracting and discussions as needed by business segment
May provide guidance and training to less experienced team members

Qualification

Contract interpretationProvider educationDatabase managementBusiness segment knowledgeExcelProblem resolutionCommunication skillsCritical thinking

Required

3+ years' experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation
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
Bachelor's Degree or equivalent combination of education and experience

Preferred

Experience with Excel, QuickBase, Smart Front End, PRMS, EPDB

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
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

Company

CVS Health

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CVS Health is a health solutions company that provides an integrated healthcare services to its members.

H1B Sponsorship

CVS Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)

Funding

Current Stage
Public Company
Total Funding
$4B
Key Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity

Leadership Team

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David Joyner
President and Chief Executive Officer, CVS Health
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Chandra McMahon
SVP & CISO
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Company data provided by crunchbase