Provider Relations Liaison (Must reside in Maricopa County, Arizona)

CVS Health•Work At Home-Arizona, AZ

2d•$46,988 - $102,000•Hybrid

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 Provider Relations Liaison develops and maintains strong relationships with facilities, physicians, and ancillary providers that support a high-performing network of care for members. This person focuses on provider engagement, satisfaction, and performance by serving as a primary liaison, resolving issues and concerns, facilitating communication, monitoring provider performance, identifying opportunities for network improvement or growth, and collaborating with internal and external stakeholders to enhance overall network effectiveness.

Requirements

2-4 years of experience in provider relations and/or contracting.
Resides in Maricopa County, Arizona.
Must possess reliable transportation and be willing and able to travel up to 30-50% of the time, specifically within West Valley, Maricopa County, Arizona and surrounding areas.
Mileage is reimbursed per our company expense reimbursement policy.

Nice To Haves

Resides in West Valley, Maricopa County, Arizona.
Working knowledge of problem solving and decision-making skills.
Strong communication skills, both verbal and written.
Ability to build and maintain relationships.
Excellent collaboration skills, possessing a team-oriented nature.
Ability to succeed in an independent, self-driven environment.

Responsibilities

Acts as the primary resource for assigned, high profile providers or groups to establish, oversee, and maintain positive relationships by assisting with (or responding to) complex issues regarding policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs.
Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships.
Monitors service capabilities and collaborates cross-functionally to ensure that the needs of constituents are met, as well as that escalated issues related (but not limited) to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved.
Supports or assists with operational activities that may include (but are not limited to) database management and contract coordination.
Educates providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures.
Meets with key providers periodically to ensure service levels are meeting expectations.
Manages the development of agenda, validates materials, and facilitates external provider meetings.
Collaborates cross-functionally on the implementation of large provider systems, in order to manage cost drivers and execute specific cost initiatives to support business objectives, as well as to identify trends and enlist assistance in problem resolution.
Performs other duties as assigned.