Strategic Network Contracts & Data Analyst

CVS Health; Nebraska; Hybrid; USD 47,000 - 122,000; Full time

Job summary

CVS Health is seeking a Network Configuration Specialist to apply contracting initiatives and data audits to enhance provider networks, while meeting accessibility, compliance, quality, and financial goals.

You will review, design, load and audit complex contracts and fee schedules in contract management systems, support recruitment efforts, and collaborate on negotiations; mentoring junior colleagues.

Qualifications

• 3–5 years of experience working with Medicaid and claims.
• Demonstrated computer literacy, with ability to navigate Excel and SQL.
• Ability to work standard business hours CST (Central Standard Time).

Responsibilities

• Assists with establishing and implementing results-based programs for network operations.
• Applies in-depth knowledge of network operations to inform decisions and strategies.
• Implements review, design, loading, and auditing of complex contracts and fee schedules in contract management systems.
• Conducts routine research, analysis, and audits to protect data, contracts, and performance.
• Provides technical expertise on contracting and related systems.
• Coordinates complex contracting activities and pre/post-signature review of contracts.
• Coaches junior colleagues in techniques and processes.
• Performs other duties as needed.

Skills

Medicaid/claims experience

Excel

SQL

Education

Bachelor's degree or specialized training/certification

High school diploma or GED

Job description

CVS Health is seeking a Network Configuration Specialist to apply contracting initiatives and data audits to enhance provider networks, while meeting accessibility, compliance, quality, and financial goals.

You will review, design, load and audit complex contracts and fee schedules in contract management systems, support recruitment efforts, and collaborate on negotiations; mentoring junior colleagues.