Negotiator Analyst (Level I)
CVS Health•Work At Home-Minnesota, MN
•$43,888 - $102,081
About The Position
The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the negotiation role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator, working with training staff, and team members as more complex cases and strategies are developed.
Requirements
- 3-5 years of experience in a medical claim background with demonstrated ability and strong understanding of benchmarking costs for medical services, supplies, and drugs.
- Previous medical provider/business office phone call handling history.
- Strengths in mathematical, written, and verbal skills.
Nice To Haves
- Coding experience, CMS, and/or CPC Certification.
- Proficient in Usual and Customary (calculations) and cost-benchmarking for drugs, supplies, and services.
Responsibilities
- Learn to navigate the systems, and create networking, for this role
- Develop filing, naming conventions, and documentation processes
- Conduct checklist workups and manage outbound communications via phone, fax, and email to facilitate negotiations.
- Work up and organize daily cases
- Make outbound calls, develop provider contacts, and understand production metrics
Benefits
- medical
- dental
- vision coverage
- paid time off
- retirement savings options
- wellness programs
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
Associate degree
