Remote Senior Analyst — Provider Relations & Contracts

Hispanic Alliance for Career Enhancement; Washington; Hybrid; USD 46,988 - 112,200; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Other resources

Job summary

CVS Health is seeking a provider relations professional to act as the primary resource for high-profile providers or groups, overseeing relationships, contract interpretation, and credentialing support. The role involves cross-functional collaboration to resolve issues related to claims, contracts, and provider demographics.

Qualifications include 3–5 years in provider relations, strong communication skills, and a bachelor's degree.

Qualifications

• 3–5 years knowledge of codes, products, and terminology.
• 3–5 years experience with Microsoft Applications.
• Strong verbal and written communication and problem resolution skills.
• Exceptional organizational and time management abilities in a fast-paced environment.

Responsibilities

• Lead and maintain relationships with high-profile providers and groups.
• Coordinate contract language, plan design, and policy adherence.
• Support credentialing activities and provider education as needed.
• Collaborate cross-functionally to ensure service levels and issue resolution.

Skills

Provider relations knowledge

Microsoft Applications

Communication skills

Organization & multitasking

Education

Bachelor's Degree

Job description

CVS Health is seeking a provider relations professional to act as the primary resource for high-profile providers or groups, overseeing relationships, contract interpretation, and credentialing support. The role involves cross-functional collaboration to resolve issues related to claims, contracts, and provider demographics.

Qualifications include 3–5 years in provider relations, strong communication skills, and a bachelor's degree.