Network Configuration & Contracts Analyst

ISHE; Northern (KY); Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Bonus eligibility

Job summary

CVS Health seeks a Network Configuration Specialist in the United States to apply contracting knowledge and audits to strengthen provider networks while achieving accessibility, quality, and financial goals. The role emphasizes complex contract design, data integrity, and cross-functional collaboration.

You will review and audit contracts and fee schedules, support negotiations, and coach junior colleagues to improve network operations.

Qualifications

• Experience with Medicaid and claims data.
• Proficient in Excel and SQL.
• Willing to work CST business hours.

Responsibilities

• Assists with establishing and implementing results-based programs and innovative initiatives for the network operations area, under general supervision.
• Applies in-depth knowledge of the network operations field to offer feedback for decisions and innovation strategies, in an effort to enhance organizational growth and visibility.
• Implements review, design, loading, and auditing of complex contracts, agreements, amendments, and/or fee schedules in contract management systems to enhance provider networks.
• Conducts routine research, analysis, and/or audits to identify issues and propose solutions to protect data, contract integrity, and performance.
• Provides technical expertise for questions regarding contracting and related systems and information contained.
• Coordinates complex contracting activities and implementation, as well as receipt and processing of contracts and documentation, in addition to pre-and post-signature review of contracts and language modification.
• Coaches more junior colleagues in techniques, processes, and responsibilities.
• Performs other duties as needed.

Skills

Medicaid experience

Data analysis

Contracting knowledge

Education

High school diploma or GED

Tools

Microsoft Excel

SQL

Job description

CVS Health seeks a Network Configuration Specialist in the United States to apply contracting knowledge and audits to strengthen provider networks while achieving accessibility, quality, and financial goals. The role emphasizes complex contract design, data integrity, and cross-functional collaboration.

You will review and audit contracts and fee schedules, support negotiations, and coach junior colleagues to improve network operations.