Senior Analyst, Network Management

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary
The Senior Analyst, Network Management acts as a liaison between the provider, network management, and Provider Data Systems for the development and implementation of new systems, increased network management oversight, expanded access to care for members, and contractual compliance. This person evaluates new developments and evolving business requirements, recommending appropriate enhancements to current processes. They prepare communications and make presentations on network enhancements and/or alternatives.

Primary Responsibilities

• Ensures the successful implementation of network management oversight, including leading and managing projects.
• Assists with evaluating new technologies, tools, and systems that can enhance provider network and operations systems.
• Conducts reviews and evaluations to ensure compliance with contractual requirements.
• Identifies network gaps and contracting recruitment targets.
• Collaborates with stakeholders – both internal and external – to ensure data integrity, accuracy of provider records, and subsequent network adequacy.
• Liaises with cross-functional teams, under minimal supervision, to gather and document network management requirements.
• Establishes a culture of continuous improvement by identifying opportunities for enhancing efficiency, streamlining processes, and implementing industry best practices.

Required Qualifications

• 3-5 years of experience in provider network management.
• Working knowledge of Microsoft Office products (Word, Excel, PowerPoint, Outlook).

Preferred Qualifications

• Proficient with QNXT, QuickBase, PowerBI, and SQL.
• Adept at problem solving and decision-making.
• Adept at collaboration and teamwork.
• Adept at maintaining a consistent growth mindset (including agility and developing yourself & others).
• Adept at execution and delivery (planning, delivering, and supporting).
• Bachelor’s degree.

Education

• High school diploma or GED.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

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