Senior Network Relations Analyst

CVS Health•Field-New Jersey, NJ

4d•$46,988 - $112,200

About The Position

The Network Relations Analyst serves as the primary point of contact for assigned, high-profile providers and provider groups (including individual providers and small group practices). This role is responsible for establishing, strengthening, and maintaining productive, long-term relationships by proactively addressing complex issues related to policies and procedures, plan design, contract language, claims, compensation, and provider education. The role collaborates closely with internal business partners to resolve escalated concerns, ensure operational excellence, and deliver a consistent, high-quality provider experience.

Requirements

3+ years of external-facing customer service or relationship management experience, preferably in a healthcare, insurance, or benefits-related environment.
3+ years of experience working with business-segment-specific policies, benefits, plan design, and contract language.
Working knowledge of provider-related codes, products, and industry terminology.
Demonstrated ability to manage complex issues, prioritize competing requests, and meet service expectations.
Strong verbal and written communication skills with the ability to convey complex information clearly and professionally.
Proven problem-solving, critical thinking, and relationship-building skills.
Proficiency with standard business technology and data systems (e.g., CRM platforms, databases, or claims systems).

Nice To Haves

3+ years of experience supporting or servicing healthcare providers, including exposure to benefits administration and contract interpretation.
Experience working with provider networks, claims operations, credentialing, or provider contracting.
Familiarity with healthcare compliance requirements and regulatory guidelines.
Ability to analyze service trends and recommend process improvements.
Experience facilitating provider meetings or leading cross-functional initiatives.

Responsibilities

Serve as the primary point of contact for assigned, high-profile providers and provider groups.
Establish, strengthen, and maintain productive, long-term relationships with providers.
Proactively address complex issues related to policies and procedures, plan design, contract language, claims, compensation, and provider education.
Collaborate with internal business partners to resolve escalated concerns.
Ensure operational excellence.
Deliver a consistent, high-quality provider experience.