Analyst, Payer Relations

CVS Health

1d • $21 - $45

About The Position

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: The Payer Relations Analyst supports the Retail Health Payer Relations and Business Development team in ensuring effective execution of payer contracts, fee schedules, requirements, and operational alignment. Together with Directors and Managers of Payer Relations (Payer Relations Leads), this role plays a critical part in maintaining positive payer relationships and patient experiences, supporting cross‑functional collaboration, and ensuring operational accuracy across the organization. The Analyst will work closely with teams across Retail Health and external payer partners to support accurate reimbursement, issue resolution, and overall payer performance.

Requirements

• 1–3 years of experience in healthcare operations, contracting, revenue cycle, payer relations, network management, or related fields.
• Strong analytical and organizational skills with high attention to detail.
• Ability to navigate and identify key information within payer policies, reimbursement structures, and operational guidance.
• Excellent communication and collaboration skills.
• Proficiency with Microsoft Excel, Microsoft Teams and reporting tools.

Nice To Haves

• Experience working with payer contracts, reimbursement methodologies, and healthcare billing standards.
• Demonstrated skills navigating payer tools and relationships to efficiently obtain key payer information that informs reimbursement, coverage, and contractual compliance.
• Located close to a CVS hub location

Responsibilities

• Contract & Fee Schedule Management Manage, maintain, and regularly update payer fee schedules and methodology in rate management system for assigned payer contracts.
• Monitor effective dates, rate changes, and contract modifications to ensure accurate and timely implementation.
• Support validation efforts to ensure payer reimbursement aligns with contracted terms.
• Payer Information & Payer Requirements Identify changes to payer information, such as fee schedules, policies, ID Cards, plan/network/product changes and operational guidance via newsletters, bulletins, policy updates, and payer portals.
• Monitor communication channels and share updates with Payer Relations leads and internal stakeholders to ensure organizational compliance with payer expectations.
• Manage field-facing payer information to optimize accurate handling of patient registration, contract terms, and any payer nuances or requirements.
• Cross‑Functional Collaboration Along with Payer Lead, partner with internal teams—including Contracting, Revenue Cycle Operations, Payer Analytics —to ensure accurate and timely contract alignment, payment accuracy, and operational execution.
• Work with Provider Field Leadership to support issue resolution tied to payer processes or contract interpretation.
• Relationship Management Act as the subject matter expert for the availability and effectiveness of payer communication channels (public website, secure portal, newsletters, provider relations, etc.)
• Build and maintain strong working relationships with internal stakeholders and external payer counterparts.
• Issue Resolution Assist in researching and resolving payer‑related operational issues identified by patient complaints, field inquiries, denied claims or payment variances.
• Collaborate as necessary with Payer Relations lead for consultation, interpretation, or escalation.
• Maintain documentation repositories for payer policies, requirements, and fee schedules.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level