Provider Network Configuration Analyst

CVS Health; Washington; 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 apply in-depth contracting and data auditing to enhance provider networks while meeting accessibility, quality, and financial goals. You will review and design contracts, support recruitment, and collaborate on negotiations.

The role requires 3–5 years of Medicaid/claims experience, 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 the network operations area.
• Offers feedback for decisions to enhance growth and visibility in the organization.
• Implements review, design, loading, and auditing of complex contracts and fee schedules in contract management systems.
• Conducts routine research and audits to identify issues and propose solutions to protect data and performance.
• Coordinates complex contracting activities and pre-/post-signature review of contracts.

Skills

Medicaid experience

Excel

SQL

CST hours

Education

High school diploma

Bachelor's degree or certification

Tools

SQL

Job description

CVS Health is seeking a Network Configuration Specialist to apply in-depth contracting and data auditing to enhance provider networks while meeting accessibility, quality, and financial goals. You will review and design contracts, support recruitment, and collaborate on negotiations.

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