Provider Network Configuration & Contracts Specialist

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

Job summary

CVS Health seeks a Network Configuration Specialist to optimize provider networks through contracts, audits, and data-driven initiatives. You will support negotiations, compliance, and quality goals while ensuring accessibility and financial targets are met.

The role requires Medicaid/claims experience, strong Excel/SQL skills, and the ability to work standard Central Time hours. A full-time position with robust benefits is offered.

Qualifications

• 3–5 years of experience working with Medicaid and claims.
• Demonstrated computer literacy with Excel and SQL.
• Ability to work standard business hours in Central Time.

Responsibilities

• Assists with establishing and implementing results-based programs for network operations.
• Applies knowledge to enhance organizational growth and visibility of provider networks.
• Conducts review, loading, and auditing of complex contracts and fee schedules.
• Performs data analyses to protect contract integrity and performance.
• Coordinates contracting activities and pre/post-signature review.

Skills

Medicaid & claims experience

Excel

SQL

Work hours CST

Education

High school diploma or GED

Bachelor's degree or specialized training/certification

Tools

Microsoft Excel

SQL

Job description

CVS Health seeks a Network Configuration Specialist to optimize provider networks through contracts, audits, and data-driven initiatives. You will support negotiations, compliance, and quality goals while ensuring accessibility and financial targets are met.

The role requires Medicaid/claims experience, strong Excel/SQL skills, and the ability to work standard Central Time hours. A full-time position with robust benefits is offered.