Senior Network Ops Analyst — Provider Data & Insights

CVS Health; United States; Remote; USD 47,000 - 92,000; Full time

Benefits offered by this job

Bonus eligibility

Comprehensive benefits

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health is seeking a Senior Analyst, Network Operations to lead business operations around Aetna’s provider network, overseeing applications, inquiries and data integrity. You will collaborate with cross-functional teams to ensure timely completion of work and adherence to production and TAT standards.

The role requires a Bachelor's degree and 3+ years in network/business environments with provider systems exposure; typical weekly hours are 40 and full-time status is expected.

Qualifications

• 3+ years in network or related business environment with exposure to provider systems, processes, etc.
• Strong organizational skills with ability to balance multiple priorities.
• Strong communication, critical thinking, problem resolution and interpersonal skills.
• Working knowledge of business systems, applications, and tools.
• Desktop tool experience - Microsoft Office

Responsibilities

• Oversee provider applications, inquiries and assistance requests.
• Ensure provider data and demographics are maintained current.
• Collaborate cross-functionally with local market colleagues and other departments.
• Meet production volume and turnaround time (TAT) standards as defined by management.
• Address non-standard provider requests with sound judgment and independence.

Skills

Network experience

Provider systems

Organizational skills

Communication skills

Office tools

Education

Bachelor’s Degree

Tools

EPDB

PDMS

PRMS

SCM

Job description

CVS Health is seeking a Senior Analyst, Network Operations to lead business operations around Aetna’s provider network, overseeing applications, inquiries and data integrity. You will collaborate with cross-functional teams to ensure timely completion of work and adherence to production and TAT standards.

The role requires a Bachelor's degree and 3+ years in network/business environments with provider systems exposure; typical weekly hours are 40 and full-time status is expected.