Provider Network Architect & Contract Analytics

CVS Health; Utah; 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 seeking a Network Configuration Specialist to enhance provider networks through contract management, data audits, and compliance. This full-time role requires analyzing contracts, fee schedules, and state regulations to support accessibility and quality.

You'll use Excel and SQL, collaborate across teams, mentor junior colleagues, and help drive innovative initiatives within the network operations group.

Qualifications

• 3-5 years of experience working with Medicaid and claims.
• Demonstrated ability to navigate Microsoft Excel and SQL.
• Ability to work standard business hours from Monday-Friday, CST.

Responsibilities

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

Skills

Critical thinking

Customer service

Team collaboration

Self-motivation

Education

Bachelor’s degree or specialized training/certification

High school diploma or GED

Tools

Microsoft Excel

SQL

Business intelligence

Job description

CVS Health is seeking a Network Configuration Specialist to enhance provider networks through contract management, data audits, and compliance. This full-time role requires analyzing contracts, fee schedules, and state regulations to support accessibility and quality.

You'll use Excel and SQL, collaborate across teams, mentor junior colleagues, and help drive innovative initiatives within the network operations group.