Network Contract Specialist

CVS Health•Work At Home-Virginia, VA

7d•$19 - $39•Onsite

About The Position

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 communication 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.