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CVS Health · 1 month ago

Senior Analyst, Network Operations

United States

Full-time

Remote

Mid, Senior Level

$47K/yr - $122K/yr

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. The Senior Analyst, Network Operations plays a key role in supporting medical provider contracting activities, focusing on contract development, compliance, and cross-functional collaboration.

Health CareMedicalPharmaceuticalRetailSales

H1B Sponsor Likely

Responsibilities

Providing contract development guidance, reviews, implementation, and ongoing maintenance support

Assisting with the selection of appropriate contract documents and compensation schedules housed in SCM

Reviewing contract language using company resources such as documented contract guidelines, compensation schedule performance tools, and reimbursement policies

Connecting with cross-functional department SMEs and leveraging web links and subject matter experts

Performing contract reviews for compliance with contracting requirements, policies, and approvals

Routing and tracking contract activities to ensure timely implementation into provider databases and payment systems

Assisting with claim inquiries by interpreting contract intent and validating contract corrections

Supporting the development of regional policies, job aids, and workflows

Participating in special projects and workgroups

Qualification

Provider compensation methodsMicrosoft WordMicrosoft ExcelStrategic Contract ManagerAdobe softwareCustomer service skillsCommunication skillsCritical thinkingProblem-solvingInterpersonal skills

Required

General knowledge of provider compensation methods, coding, and billing (e.g., per diems, case rates, stop loss, revenue codes, DRGs, CPT-4)

Experience in Microsoft Word and Excel

Strong communication, customer service, critical thinking, problem-solving, and interpersonal skills

Bachelor's degree or equivalent experience

Preferred

Experience and knowledge of Strategic Contract Manager (SCM)

Familiarity with Adobe software

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

Glassdoor3.1

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

Founded in 1963

Woonsocket, Rhode Island, USA

10001+ employees

https://www.cvshealth.com/

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)