Network Contract Specialist
CVSHealth
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
Provides administrative and operational support to network management and provider relations functions.
Assists with contract management, data analysis, provider directory maintenance, coordination of provider communication and education, and support of the resolution of operational issues. Maintains accurate provider information, facilitating effective communication and ensuring smooth operations within the network management and provider relations department.
Job Responsibilities
- Maintains an understanding of contract language in order to support financial and operational impact and legal implications of requested contract changes.
- Performs analysis of network contracts while supporting strategy development and implementation to ensure industry-proven best practices are instilled within the company's strategies and end-product offerings.
- Provides support for regulatory and out-of-network daily initiatives while maintaining compliance with the company's regulatory, safety, quality, and confidentiality protocols and standards.
- Handles the comprehensive review of contracts, from initial writeup through to formalized signage and implementation, leveraging standardized tools and end-to-end quality processes.
- Maintains contracts, including making changes and updates to specifically review contract language and identify modifications from the current thrust and scope.
- Communicates closely with all internal and external partners to drive effective and appropriate geographically-competitive broad access throughout the network.
- Initiates and completes business relationships with associated partners to successfully enhance the company's competitive advantage and network capabilities.
- Coordinates with key providers to finalize contracting and credentialing processes while contributing to the company's overall revenue and profitability targets.
- Makes recommendations for training and process improvements to prevent future errors and ensure a high level of satisfaction and loyalty.
Required Qualifications
• 5 years of administration and or data entry experience
• 5 years experience in Microsoft Office applications
• Strong communcaiton and collaboration skills
Preferred Qualifications
• 5+ years work experience
• Healthcare experience
• Adept at problem solving and decision making skills
Education
• High school diploma or equivalent required.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$18.50 - $38.82This 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 people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.