Network Configuration & Contracts Specialist

CVS Health; United States; Remote; USD 47,000 - 122,000; Full time

Benefits offered by this job

Comprehensive benefits

Job summary

CVS Health is seeking a Network Configuration Specialist to enhance provider networks by applying deep contract and data auditing expertise. You will assist with program design, support recruitment efforts, and collaborate on negotiations to drive accessibility, quality, and financial goals.

The role requires 3–5 years in Medicaid/claims, strong Excel and SQL skills, and the ability to work CST business hours.

Qualifications

• 3–5 years of experience working with Medicaid and claims.
• Proficient with Microsoft Excel and SQL.
• Ability to work standard business hours from Monday–Friday, supporting Central Standard Time.

Responsibilities

• Assists with establishing and implementing results-based programs for network operations.
• Applies knowledge of network operations to provide feedback for decisions and innovation.
• Implements review, design, loading, and auditing of contracts and fee schedules in contract management systems.

Skills

Medicaid experience

SQL

Excel

CST hours availability

Education

High school diploma or GED

Tools

Microsoft Excel

SQL

Job description

CVS Health is seeking a Network Configuration Specialist to enhance provider networks by applying deep contract and data auditing expertise. You will assist with program design, support recruitment efforts, and collaborate on negotiations to drive accessibility, quality, and financial goals.

The role requires 3–5 years in Medicaid/claims, strong Excel and SQL skills, and the ability to work CST business hours.