Senior Analyst, Network Relations

CVS Health

Primary liaison for integrated providers enhancing provider satisfaction and compliance. Collaborating to ensure contract adherence and conducting provider education for network management

Posted 7/9/2026full-timeRemote • North Carolina • 🇺🇸 United StatesSenior💰 $46,988 - $91,800 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in provider relations and network management, with a strong focus on reimbursement payment methodologies and medical claims processing. Capable of implementing solutions to enhance provider satisfaction and achieve operational efficiency.

Highest-signal resume keywords

Provider Relations ExperienceNetwork ManagementReimbursement Payment MethodologiesMedical Claims ProcessingBehavioral Health Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Provider EducationContract ComplianceClaims ResearchProvider CommunicationCost TargetsNetwork GrowthEfficiency Targets

Soft Skills

Excellent Written CommunicationExcellent Oral CommunicationInterpersonal CommunicationCritical ThinkingProblem ResolutionTime Management

Tools & Technologies

Microsoft WordMicrosoft ExcelMicrosoft OfficeProvider DatabasesEPDB

Industry Keywords

Medicare ProgramsBehavioral Health Payment MethodologiesCommercial Payment Methodologies

About the role

Key responsibilities & impact

Acts as the primary liaison for assigned geography of integrated providers
Conducts provider education, ensures contract compliance, provider communication, claims research and assists with resolution
Implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets

Requirements

What you’ll need

3-5 years of provider relations and/or network management experience required
Must be experienced in working with all reimbursement payment methodologies
Experienced in working with large provider groups, capitated agreements, behavioral health provider
Must have excellent written, oral, and interpersonal communication skills
Computer literate in Word, Excel, Microsoft Office
Must be flexible and able to handle a highly, fast-paced environment
Knowledge of Medicare programs
Knowledge of various Behavioral Health and Commercial payment methodologies
Medical claims processing knowledge
Experience working within Provider Databases (i.e. EPDB) a plus
Critical thinking, problem resolution and ability to work independently
Excellent time management skills

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
comprehensive benefits package designed to support physical, emotional, and financial well-being of colleagues and their families