Negotiator Analyst (Level I)

CVS Health

6d

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 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.
• Associates/High School graduate, or equivalent professional work experience.

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

• This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families.
• The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
• Additional details about available benefits are provided during the application process and on Benefits Moments.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED