Senior Provider Relations & Network Liaison

CVS Health

Topeka (KS)

On-site

USD 47,000 - 112,000

Full time

2 days ago
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Benefits offered by this job

Bonus program

Job summary

CVS Health in Topeka, KS is seeking a Provider Relations Specialist who will act as the primary resource for assigned providers and groups, building positive relationships and addressing complex policy, contract, and education needs. On-site involvement is expected.

You'll monitor service capabilities, coordinate with internal teams, assist with credentialing, and help ensure contract compliance and provider demographic accuracy to support high-quality care.

Qualifications

  • 3–5 years' experience with policy, benefits, plan design and language.
  • Working knowledge of codes, products, and terminology.
  • Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills.

Responsibilities

  • Act as primary resource to establish and maintain relationships with providers.
  • Monitor service capabilities and resolve escalated issues (claims, contracts, demographics).
  • Support operational activities such as database management and contract coordination.
  • Perform credentialing support as needed.
  • Educate providers to ensure policy and contract compliance.
  • Meet with key providers to ensure service levels.
  • Develop agendas, prepare materials, and facilitate provider meetings.
  • Collaborate cross-functionally on contract implementations.

Skills

Provider relations
Policy/benefits knowledge
Communication skills
Problem solving
Critical thinking

Education

Bachelor's degree

Tools

Database management
Contract coordination

Job description

CVS Health in Topeka, KS is seeking a Provider Relations Specialist who will act as the primary resource for assigned providers and groups, building positive relationships and addressing complex policy, contract, and education needs. On-site involvement is expected.

You'll monitor service capabilities, coordinate with internal teams, assist with credentialing, and help ensure contract compliance and provider demographic accuracy to support high-quality care.

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