Network Operations, Senior Analyst

4062 Aetna Resources, LLC; Louisiana; Hybrid; USD 47,000 - 92,000; Full time

Benefits offered by this job

Medical

Dental

Vision

Paid time off

Retirement savings

Wellness programs

Other resources

Job summary

CVS Health is seeking a Senior Analyst, Network Operations to drive business operations for the provider network supporting over $30B in annual medical claims spend. You will manage provider applications, inquiries and data integrity, collaborating with local market colleagues and cross‑functional teams to meet production volume and turnaround targets.

The ideal candidate has 3+ years in network operations, strong organizational and communication skills, and working knowledge of provider systems

Qualifications

• 3+ years' experience in Network or related business environment with exposure to provider systems, processes, etc.
• Strong organizational skills with demonstrated ability to balance multiple concurrent priorities.
• Strong communication, critical thinking, problem resolution and interpersonal skills.

Responsibilities

• Assist with provider applications, inquiries and data integrity processes.
• Collaborate cross‑functionally to meet production volume and turnaround time standards.
• Maintain provider demographic information and ensure data is current.

Skills

Organization

Communication

Critical thinking

Interpersonal skills

Provider systems knowledge

Education

Bachelor’s Degree

Tools

Microsoft Office

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 Senior Analyst, Network Operations is a key role within the Network Operations function. The role is responsible for business operations managing Aetna’s provider network, which accounts for >$30Bn in annual medical claims spend. Business operations includes, but is not limited to, facilitating new provider applications, managing provider inquiries and assistance requests, and ensuring provider data and demographic information is maintained current. The role is a senior individual contributor position. The role will have a broad span of influence over responsible areas, and it will command the need to make accurate decisions on processes and directions for work, interactions with appropriate local market colleagues. The Senior Analyst’s ability to identify, evaluate and act on trends impacting market objectives and demonstrate independent judgement, discretion and authority will be critical for success. The ideal candidate will use their professional and technical experience, extensive Aetna systems knowledge, and internal cross‑functional relationships to successfully complete their responsibilities (notably with common, non-standard provider requests and/or situations). The Senior Analyst will use advanced interpersonal skills to interact cross‑functionally with multiple business areas to ensure timely completion of work and be responsible for achieving production volume and TAT standards as defined by department management, and may only focus on specific aspects of the provider application / inquiry / data integrity processes.

Required Qualifications

• 3+ years' experience in Network or related business environment with exposure to provider systems, processes, etc. is required
• Strong organizational skills with demonstrated ability to balance multiple concurrent priorities
• Strong communication, critical thinking, problem resolution and interpersonal skills.
• Working knowledge of business systems, applications, and tools.
• Desktop Tool experience - Microsoft Office

Preferred Qualifications

• Experience working with provider data and internal systems EPDB, PDMS, PRMS, and SCM
• Strong communication, critical thinking, problem resolution, interpersonal, and research skills
• Able to manage expectations, multi-task, and maintain strong relationships both internally and externally
• Independent thinker with strong analytical skills

Education

Bachelor’s Degree or equivalent combination of education and experience.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $46,988.00 - $91,800.00 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.

• medical
• dental
• vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources

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: 10/22/2026

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

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.