Network Configuration & Contracts Architect

CVS Health; New York (NY); Hybrid; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is building a world of health around every individual, shaping a more connected, convenient and compassionate health experience. The Network Configuration Specialist applies in-depth knowledge of contracting initiatives and data audits to enhance provider networks, while meeting accessibility, compliance, quality, and financial goals.

This full‑time role involves reviewing, designing, loading, and auditing complex contracts and fee schedules in contract management systems, supporting

Qualifications

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

Responsibilities

• Assist with results-based programs and initiatives for the network operations area.
• Apply in-depth knowledge of network operations to inform decisions and strategy.
• Design, load, and audit complex contracts, agreements, amendments, and fee schedules in contract management systems.
• Conduct routine research, analysis, and audits to protect data integrity and performance.
• Provide technical contracting expertise for questions regarding contracting and related systems.
• Coordinate complex contracting activities and implementation, including post-signature review of contracts.
• Coach junior colleagues in techniques, processes, and responsibilities.
• Perform other duties as needed.

Skills

Critical thinking

Customer service

Team collaboration

Self-motivation

Education

Bachelor's degree or specialized training/certification

High school diploma or GED

Tools

Excel

SQL

Job description

CVS Health is building a world of health around every individual, shaping a more connected, convenient and compassionate health experience. The Network Configuration Specialist applies in-depth knowledge of contracting initiatives and data audits to enhance provider networks, while meeting accessibility, compliance, quality, and financial goals.

This full‑time role involves reviewing, designing, loading, and auditing complex contracts and fee schedules in contract management systems, supporting