Behavioral Health Network, Senior Analyst

CVS Health•Hartford, IN

14d•$46,988 - $112,200

About The Position

The Senior Analyst, Behavioral Health Network supports the development, maintenance, and optimization of the Behavioral Health provider network, with a primary focus on Applied Behavior Analysis (ABA) providers and related autism services. The role serves as a liaison among network management, provider organizations, Provider Data Services, credentialing, and other internal business partners to support network adequacy, provider satisfaction, and operational excellence. The analyst evaluates the behavioral health provider network, analyzes market and provider data, identifies opportunities for improvement, and supports initiatives intended to enhance access to high-quality behavioral health services. The role partners with providers and internal stakeholders to resolve network-related issues and support credentialing and contracting activities while ensuring compliance with organizational and regulatory requirements. Responsibilities include supporting ABA and behavioral health provider recruitment, onboarding, and retention; managing provider relationships and inquiries; analyzing network data and access metrics; developing reports and recommendations; resolving operational and provider data issues; coordinating demographic updates; supporting contracting, credentialing, and recredentialing; documenting business requirements; improving workflows and systems; participating in cross-functional projects; and supporting regulatory reporting, audits, and quality improvement initiatives. This is a full-time position with anticipated hours of 40 per week. The role is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to base pay. The stated pay range is $46,988 to $112,200. A comprehensive benefits package is available, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, subject to eligibility.

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 working within a health plan, managed care organization, payer, or behavioral health organization.
Provider designation or badging experience.
Value-Based Care (VBC) experience.
Pay-for-Performance (P4P) program experience.
Knowledge of Autism Spectrum Disorder services, Applied Behavior Analysis, 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.
ABA quality measures and Institute of Quality (IOQ) methodology experience.
Member-facing provider navigation and search experience.
Ability to build collaborative relationships with providers and cross-functional business partners.
Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Behavioral Health, or a related field.

Responsibilities

Support recruitment, onboarding, and retention of ABA and behavioral health providers to meet network adequacy and accessibility goals.
Serve as a point of contact for provider organizations and practitioners regarding network participation, operational concerns, and escalated service issues.
Build and maintain provider relationships to support engagement and network stability.
Analyze provider network data to identify trends, coverage gaps, capacity constraints, and opportunities for expansion.
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 support strategic decision-making.
Investigate and resolve provider inquiries related to credentialing, demographic maintenance, and network participation.
Partner with operations teams to improve provider data accuracy and resolve system or operational issues.
Coordinate provider demographic updates and ensure 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 and track provider onboarding and 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 to improve provider performance, network effectiveness, and member access to care.