Network Configuration & Contracts Analyst

CVS Health

New Hampshire

Hybrid

USD 47,000 - 122,000

Full time

14 days+

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Benefits offered by this job

Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings
Wellness programs
Bonus eligibility

Job summary

CVS Health is seeking a Network Configuration Specialist to apply contract and data audit expertise to enhance provider networks, support accessibility, quality and financial goals. The role involves reviewing, designing and auditing complex contracts and fee schedules, with collaboration on negotiations as needed.

You will conduct routine research, support recruitment efforts, coach junior colleagues, and ensure contract integrity across systems.

Qualifications

  • 3–5 years of Medicaid and claims experience.
  • Proficient in Microsoft Excel and SQL.
  • Ability to work standard business hours CST (Mon–Fri).

Responsibilities

  • Assist with establishing and implementing results-based programs for network operations.
  • Provide feedback to support decisions and innovation strategies for growth.
  • Design, load, and audit complex contracts and fee schedules in contract systems.
  • Conduct routine research and audits to protect data integrity and performance.
  • Offer technical expertise on contracting questions and systems.
  • Coordinate contracting activities, including pre- and post-signature reviews.

Skills

Medicaid experience
Claims experience
Excel skills
SQL knowledge
CST hours

Education

High school diploma or GED

Tools

Excel
SQL

Job description

CVS Health is seeking a Network Configuration Specialist to apply contract and data audit expertise to enhance provider networks, support accessibility, quality and financial goals. The role involves reviewing, designing and auditing complex contracts and fee schedules, with collaboration on negotiations as needed.

You will conduct routine research, support recruitment efforts, coach junior colleagues, and ensure contract integrity across systems.

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