Behavioral Health Network, Senior Analyst

CVS Health•Hartford, CT

13d

About The Position

The Senior Analyst, Behavioral Health Network supports the development, maintenance, and optimization of CVS Health’s Behavioral Health provider network, with a primary focus on Applied Behavior Analysis (ABA) providers and related autism services. The role works across network management, provider organizations, Provider Data Services, credentialing, and other internal teams to support network adequacy, provider satisfaction, and operational excellence. The analyst evaluates provider network and market data, identifies coverage gaps and opportunities for improvement, and supports initiatives to increase access to high-quality behavioral health services. The position also partners with providers and internal stakeholders to resolve network issues, support credentialing and contracting, and ensure compliance with organizational and regulatory requirements.

Requirements

3–5 years of experience in healthcare network management, provider relations, provider operations, behavioral health administration, or related healthcare roles.
Experience working with provider networks, credentialing, contracting, claims, or provider service operations.
Strong analytical and problem-solving skills, including the ability to interpret data and identify actionable insights.
Experience managing multiple priorities and collaborating across a matrixed organization.
Excellent verbal and written communication skills, including the ability to present data-driven insights to leadership.
Proficiency in Microsoft Office applications, particularly Excel, and Power BI.
Exceptional organizational skills and attention to detail.
A bachelor’s degree is preferred in Business, Healthcare Administration, Public Health, Behavioral Health, or a related field; an equivalent combination of education and relevant experience may be considered.

Nice To Haves

Experience within a health plan, managed care organization, payer, or behavioral health organization.
Provider designation or badging experience.
Value-Based Care (VBC) experience.
Experience with Pay-for-Performance (P4P) programs.
Knowledge of Autism Spectrum Disorder (ASD) services, Applied Behavior Analysis (ABA), and behavioral health provider operations.
Familiarity with network adequacy standards, provider contracting, credentialing, and regulatory compliance requirements.
Experience with provider quality measurement frameworks and performance benchmarking.
Experience supporting provider data management and provider directory accuracy initiatives.
Experience with provider network management systems and reporting platforms.
Experience with ABA quality measures and Institute of Quality (IOQ) methodology.
Member-facing provider navigation and search experience.
Ability to build collaborative relationships with providers and cross-functional business partners.

Responsibilities

Support recruitment, onboarding, and retention of ABA and behavioral health providers to meet network adequacy and accessibility goals.
Serve as a primary contact for provider organizations and practitioners on network participation, operational concerns, and escalated service issues.
Build and maintain provider relationships that support engagement and network stability.
Analyze provider network data to identify trends, coverage gaps, capacity constraints, and network expansion opportunities.
Monitor network adequacy standards and access-to-care metrics for compliance with regulatory and business requirements.
Develop and present reports, dashboards, and recommendations using Excel, Power BI, and other reporting platforms.
Assess provider utilization, performance, and participation patterns to inform strategic decisions.
Investigate and resolve provider inquiries related to credentialing, demographic maintenance, and network participation.
Work with operations teams to address provider data accuracy and system or operational issues affecting providers.
Coordinate provider demographic updates and maintain accurate provider information across systems and directories.
Support implementation of processes, programs, and operational enhancements affecting provider networks.
Collaborate with contracting teams on provider recruitment, contract execution, amendments, and renewals.
Support credentialing and recredentialing activities to ensure providers meet organizational and regulatory standards.
Track provider onboarding activities and monitor completion of required documentation.
Gather, analyze, and document business requirements for provider network management initiatives.
Evaluate workflows and identify opportunities to improve efficiency, provider experience, and operational performance.
Participate in cross-functional projects supporting behavioral health growth and network transformation.
Recommend process and system improvements that support provider and member outcomes.
Ensure provider network activities align with state, federal, accreditation, and organizational requirements.
Support audits, regulatory requests, and network reporting obligations.
Assist with quality improvement initiatives focused on provider performance, network effectiveness, and member access to care.