Senior Provider Relations & Contracts Analyst

CVSHealth; Illinois; On-site; USD 47,000 - 92,000; Full time

Benefits offered by this job

Medical, dental, vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Provider Relations Specialist to build and maintain positive relationships with providers and groups. The role involves addressing policies, plan design, contract language, service and claims issues, and provider education.

On-site presence is required periodically. The full-time position in Illinois emphasizes cross-functional collaboration, credentialing support, and meeting service level expectations.

Qualifications

• Working knowledge of policy, benefits, plan design and language.
• Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills.

Responsibilities

• Acts as the primary resource for assigned providers or groups to address complex issues.
• Optimizes provider interactions and collaborates with internal teams to meet needs.
• Supports credentialing activities and provider education to ensure policy compliance.
• Meets with providers to ensure service levels and facilitates external provider meetings.
• Participates in contract coordination and cross-functional implementation.

Skills

Policy language knowledge

Verbal and written communication

Education

Bachelor's degree or equivalent

Job description

CVS Health is seeking a Provider Relations Specialist to build and maintain positive relationships with providers and groups. The role involves addressing policies, plan design, contract language, service and claims issues, and provider education.

On-site presence is required periodically. The full-time position in Illinois emphasizes cross-functional collaboration, credentialing support, and meeting service level expectations.