CVS Health · 1 day ago
Network Relations Senior Analyst
CVS Health is the nation’s leading health solutions company, dedicated to transforming health care for millions of Americans. The Senior Network Relations Analyst is responsible for validating and maintaining provider information, responding to inquiries, and ensuring compliance with state regulatory requirements.
Health CareMedicalPharmaceuticalRetailSales
Responsibilities
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
Excellent written and verbal communication skills
Conducts or participates in special projects and other duties as assigned
Qualification
Required
A minimum of 2 years' work experience in healthcare
Experience in Medical Terminology, CPT, ICD-10 codes, etc
Experience working with the MS Office suite
Preferred
Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claim Lifecycle, Provider Appeals & Disputes, and Network Performance Standards
Experience in Medical Terminology, CPT, ICD-10 codes, etc
Benefits
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.
Company
CVS Health
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 CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
Recent News
Hartford Business Journal
2026-01-11
Digital Commerce 360
2026-01-07
2026-01-07
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