Sr. Analyst, Network Relations

CVS HealthWork At Home-Florida, FL
$46,988 - $102,000Remote

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 This is an individual contributor role. The Contract Manager will support the National Ancillary Contracting Team focused on National Laboratory contracting and other Network requests as assigned. This position is responsible for completing negotiations and re‑negotiations, as well as executing provider contracts in alignment with company standards in order to maintain and enhance provider networks while meeting and exceeding accessibility, quality and financial goals.

Requirements

  • 2-3 years experience with provider contracts, contracting options, Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines, system loads as well as provider configurations.
  • 2–3 years of experience and in‑depth knowledge of the managed care industry, including a strong understanding of competitor strategies, industry practices, and financial/contracting arrangements.
  • Specific experience in national laboratory contracting is required.

Nice To Haves

  • Strong written and verbal communication skills, with the ability to identify and capitalize on marketing opportunities to support effective program delivery.
  • Strong attention to detail, with the ability to analyze, identify, and report significant changes in network adequacy across Commercial, High‑Performance Plan, and Medicare products.
  • Demonstrated ability to collaborate effectively with multiple internal business areas to support organizational goals.
  • Proficiency in Microsoft Excel and the full Microsoft Office Suite.

Responsibilities

  • Provider contracting, including mastery of contracting methodologies, Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines, system loads, and provider configuration processes.
  • Contracting with laboratories on a national scale and a strong understanding of competitor strategies, industry practices, and financial/contracting arrangements.
  • Contract Negotiation to build positive provider relationships that support network growth and market competitiveness.
  • Identify and leverage market opportunities to support program delivery.
  • Analyze, identify, and report meaningful changes in network adequacy for applicable Commercial and Medicare products.
  • Collaborate effectively across internal business units to achieve departmental and corporate goals.

Benefits

  • medical
  • dental
  • vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
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