Medicaid Network Contracts & Data Specialist

CVS Health; Kansas; Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Job summary

CVS Health is seeking a Network Configuration Specialist to support contract management and provider network optimization. You will review, design, and audit contracts and fee schedules, ensuring data integrity and regulatory compliance across networks.

The role requires 3–5 years in Medicaid/claims, strong Excel/SQL skills, and availability to work standard Central Time business hours. The position offers full-time employment with comprehensive benefits and growth opportunities.

Qualifications

• 3–5 years of Medicaid and claims experience.
• Proficient with Microsoft Excel and SQL.
• Ability to work standard CST business hours, Monday–Friday.

Responsibilities

• Support network operations by implementing results-based programs and initiatives under supervision.
• Apply in-depth knowledge to provide feedback for decisions and innovation strategies.
• Design, load, and audit complex contracts, amendments, and fee schedules in contract management systems.
• Conduct routine research and audits to identify issues and propose solutions to protect data, contract integrity, and performance.
• Provide technical contracting expertise for questions regarding contracting and related systems.
• Coordinate complex contracting activities and implementation, including receipt and processing of contracts, pre- and post-signature review of language modifications.
• Coach more junior colleagues in techniques, processes and responsibilities.
• Perform other duties as needed.

Skills

Medicaid experience

SQL

Excel

Communication skills

Education

High school diploma or GED

Tools

Microsoft Excel

SQL

Job description

CVS Health is seeking a Network Configuration Specialist to support contract management and provider network optimization. You will review, design, and audit contracts and fee schedules, ensuring data integrity and regulatory compliance across networks.

The role requires 3–5 years in Medicaid/claims, strong Excel/SQL skills, and availability to work standard Central Time business hours. The position offers full-time employment with comprehensive benefits and growth opportunities.