Network Configuration Specialist

CVS Health; Springfield (IL); On-site; USD 47,000 - 122,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

401(k) retirement savings options

Paid time off

Job summary

CVS Health is seeking a Network Configuration Specialist in Springfield, IL. You will apply contracting expertise to optimize provider networks while supporting accessibility, compliance, quality, and financial goals.

You will review, design, and audit contracts and fee schedules in contract management systems, assist in recruitment efforts, and collaborate on negotiations as needed.

Qualifications

• 3-5 years of Medicaid and claims experience.
• Proficient in navigating internal/external systems including Excel and SQL.
• Able to work standard CST business hours Monday–Friday.

Responsibilities

• Assist with establishing and implementing results-based programs for network operations.
• Apply in-depth knowledge to inform decisions and drive strategy.
• Design, review, load, and audit complex contracts and fee schedules.
• Conduct routine research and audits to protect data integrity and performance.
• Provide technical guidance on contracting and related systems.
• Coordinate complex contracting activities and post-signature reviews.
• Coach junior colleagues in processes and responsibilities.
• Perform other duties as needed.

Skills

Medicaid & claims experience

Excel navigation

SQL knowledge

CST business hours

Education

Bachelor’s degree or specialized training/certification

High school diploma or GED

Tools

Excel

SQL

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

The Network Configuration Specialist applies in-depth knowledge of contracting initiatives and data audits to enhance provider networks, while meeting and exceeding accessibility, compliance, quality, and financial goals. This person conducts routine review, design, and auditing for complex contract and network data, supports recruitment efforts, and collaborates on negotiations as needed.

Primary 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.

Required Qualifications

• 3-5 years of experience working with Medicaid and claims.
• Demonstrated computer literacy, with an ability to navigate through internal and external computer systems, including Microsoft Excel and SQL.
• Ability to work standard business hours from Monday-Friday, supporting Central Standard Time.

Preferred Qualifications

• Ability to effectively participate in a multi-disciplinary team including internal and external participants.
• Ability to use critical thinking skills to analyze claims, contracts, and state regulations for configuration.
• Strong customer service skills to coordinate service delivery, including attention to customers, sensitivity to issues, proactive identification, and resolution of issues, in order to promote positive outcomes for members and providers.
• Working knowledge of skills supporting execution and delivery (planning, delivering, and supporting).
• Working knowledge of business intelligence.
• Strong problem solving and decision-making skills.
• Ability to collaborate within a team, as well as interdepartmentally.
• Ability to self-motivate and drive own growth regularly.
• Bachelor’s degree or specialized training/certification.

Education

• High school diploma or GED.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The Typical Pay Range For This Role Is $46,988.00 - $122,400.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Great Benefits For Great People

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 09/18/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.