Network Contract Specialist

CVS Health

2d • $19 - $39

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 Provides administrative and operational support to network management and provider relations functions. Assists with contract management, data analysis, provider directory maintenance, coordination of provider communication and education, and support of the resolution of operational issues. Maintains accurate provider information, facilitating effective communication and ensuring smooth operations within the network management and provider relations department.

Requirements

• 5 years of administration and or data entry experience
• 5 years experience in Microsoft Office applications
• Strong communcaiton and collaboration skills
• High school diploma or equivalent required.

Nice To Haves

• 5+ years work experience
• Healthcare experience
• Adept at problem solving and decision making skills

Responsibilities

• Maintains an understanding of contract language in order to support financial and operational impact and legal implications of requested contract changes.
• Performs analysis of network contracts while supporting strategy development and implementation to ensure industry-proven best practices are instilled within the company's strategies and end-product offerings.
• Provides support for regulatory and out-of-network daily initiatives while maintaining compliance with the company's regulatory, safety, quality, and confidentiality protocols and standards.
• Handles the comprehensive review of contracts, from initial writeup through to formalized signage and implementation, leveraging standardized tools and end-to-end quality processes.
• Maintains contracts, including making changes and updates to specifically review contract language and identify modifications from the current thrust and scope.
• Communicates closely with all internal and external partners to drive effective and appropriate geographically-competitive broad access throughout the network.
• Initiates and completes business relationships with associated partners to successfully enhance the company's competitive advantage and network capabilities.
• Coordinates with key providers to finalize contracting and credentialing processes while contributing to the company's overall revenue and profitability targets.
• Makes recommendations for training and process improvements to prevent future errors and ensure a high level of satisfaction and loyalty.

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: Mid Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees