Senior Analyst, Network Relations

CVS Health; Washington; On-site; 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

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

Acts as the primary resource for assigned, high profile providers or groups (i.e. local, individual providers, small groups/systems) to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs.

Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships. Monitors service capabilities and collaborates cross-functionally to ensure that the needs of constituents are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination. Performs credentialing support activities as needed. Educates providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures. Meets with key providers periodically to ensure service levels are meeting expectations. Manages the development of agenda, validates materials, and facilitates external provider meetings. May collaborate cross functionally on the implementation of large provider systems, to manage cost drivers and execute specific cost initiatives to support business objectives and to identify trends and enlist assistance in problem resolution. Conduct standard provider recruitment, contracting, or recontracting activities and assist with more complex contracting and discussions as needed by business segment. May provide guidance and training to less experienced team members.

REMOTE POSITION WITHIN WEST REGION

Required Qualifications

• 3- 5 years knowledge of business segment specific codes, products, and terminology.
• 3-5 years of Microsoft Applications experience
• Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills.
• The successful candidate must demonstrate exceptional organizational, multitasking, and time management skills, with the ability to effectively balance competing priorities in a fast-paced environment. This role requires the capacity to assess urgent needs, adapt to changing demands, and manage multiple assignments simultaneously while consistently meeting deadlines and maintaining a high level of accuracy and quality.

Preferred Qualifications

• 6+ years knowledge of business segment specific codes, products, and terminology.

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 - $112,200.00

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

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.

• medical coverage
• dental coverage
• 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: 08/20/2026

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