Network Contracts & Data Analyst

CVS Health; Michigan; Hybrid; USD 47,000 - 122,000; Full time

Job summary

CVS Health seeks a Network Configuration Specialist to apply contracting initiatives and data audits to enhance provider networks, while meeting accessibility, quality and financial goals. You will review and design contracts, load and audit complex data in contract management systems, support negotiations, and coach junior teammates, with a 40-hour work week in CST.

The role requires 3–5 years Medicaid/claims experience, strong Excel/SQL skills, and a collaborative, growth-minded mindset within

Qualifications

• 3-5 years of Medicaid and claims experience.
• Proficient in Microsoft Excel and SQL.
• Ability to work standard business hours CST.

Responsibilities

• Assist in establishing and implementing results-based programs for network operations.
• Apply in-depth knowledge to provide feedback for decisions and innovation strategies.
• Design, load, and audit complex contracts and fee schedules in contract systems.
• Conduct routine research and audits to protect data and contract integrity.
• Coordinate contracting activities and review language modifications.
• Coach junior colleagues in techniques and processes.

Skills

Medicaid/claims experience

SQL

Critical thinking

Team collaboration

Customer service

Education

High school diploma

Tools

Excel

Job description

CVS Health seeks a Network Configuration Specialist to apply contracting initiatives and data audits to enhance provider networks, while meeting accessibility, quality and financial goals. You will review and design contracts, load and audit complex data in contract management systems, support negotiations, and coach junior teammates, with a 40-hour work week in CST.

The role requires 3–5 years Medicaid/claims experience, strong Excel/SQL skills, and a collaborative, growth-minded mindset within