ABA & Behavioral Health Network Strategist

CVSHealth; California; On-site; USD 47,000 - 112,000; Full time

Job summary

CVS Health is seeking a Senior Analyst for Behavioral Health Network to support development, maintenance, and optimization of the ABA provider network. You will liaise with network management, credentialing, and data services to ensure network adequacy, provider satisfaction, and operational excellence.

The role focuses on evaluating the BH provider network, analyzing market and provider data, and identifying opportunities for network expansion and improved access to high-quality behavioral

Qualifications

• 3-5 years of experience in healthcare network management, provider relations, provider operations, behavioral health administration, or related healthcare roles.
• Experience working with provider networks, credentialing, contracting, claims, or provider service operations.
• Strong analytical and problem-solving skills with the ability to interpret data and identify actionable insights.
• Experience managing multiple priorities and collaborating across a matrixed organization.
• Excellent verbal and written communication skills, including the ability to present data driven insights to leadership.

Responsibilities

• Support recruitment, onboarding, and retention of ABA and behavioral health providers to meet network adequacy and accessibility goals.
• Serve as a primary point of contact for provider organizations and practitioners regarding network participation, operational concerns, and escalated service issues.
• Build and maintain strong provider relationships to support engagement and network stability.
• Analyze provider network data to identify trends, gaps in coverage, capacity constraints, and opportunities for network expansion.
• Monitor network adequacy standards and access-to-care metrics to ensure compliance with regulatory and business requirements.
• Develop and present reports, dashboards, and recommendations using tools such as Excel, Power BI, and other reporting platforms.
• Assess provider utilization, performance, and participation patterns to support strategic decision-making.
• Investigate and resolve provider inquiries related to credentialing, demographic maintenance, and network participation.
• Partner with operations teams to address provider data accuracy and resolve system or operational issues impacting providers.
• Coordinate provider demographic updates and ensure accurate provider information across all systems and directories.
• Support implementation of new processes, programs, and operational enhancements affecting provider networks.
• Collaborate with contracting teams to facilitate provider recruitment efforts, contract execution, amendments, and renewals.
• Support credentialing and recredentialing activities to ensure providers meet organizational and regulatory standards.
• Track provider onboarding activities and monitor completion of required documentation.
• Gather, analyze, and document business requirements related to provider network management initiatives.
• Evaluate current-state workflows and identify opportunities to improve efficiency, provider experience, and operational performance.
• Participate in cross-functional projects supporting behavioral health growth initiatives and network transformation efforts.
• Recommend process enhancements and system improvements that improve provider and member outcomes.
• Ensure provider network activities align with state, federal, accreditation, and organizational requirements.
• Support audits, regulatory requests, and network reporting obligations.
• Assist with quality improvement initiatives designed to improve provider performance, network effectiveness, and member access to care.

Skills

Healthcare analytics

Data interpretation

Excel

Power BI

Communication

Project management

Cross-functional collaboration

Education

Bachelor's degree in Healthcare Administration

Equivalent combination of education and relevant experience

Tools

Excel

Power BI

Job description

CVS Health is seeking a Senior Analyst for Behavioral Health Network to support development, maintenance, and optimization of the ABA provider network. You will liaise with network management, credentialing, and data services to ensure network adequacy, provider satisfaction, and operational excellence.

The role focuses on evaluating the BH provider network, analyzing market and provider data, and identifying opportunities for network expansion and improved access to high-quality behavioral