CVS Health · 1 hour ago
Network Relations, Senior Analyst
United States
Full-time
Remote
Mid, Senior Level
$50K/yr - $122K/yr
2+ years expCVS Health is focused on building a world of health around every individual, aiming to simplify health care for communities. The Senior Network Relations Analyst is responsible for the accurate validation and maintenance of provider information, handling inquiries, and ensuring compliance with 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
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
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
10001+ employees
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
David Joyner
President and Chief Executive Officer, CVS Health
Chandra McMahon
SVP & CISO
Recent News
The Motley Fool
2026-01-22
bloomberglaw.com
2026-01-22
Company data provided by crunchbase