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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.
Job Responsibility:
Provides administrative and operational support to network management and provider relations functions
Assists with contract management, data analysis, provider directory maintenance, coordination of provider communication and education, and support of the resolution of operational issues
Maintains accurate provider information, facilitating effective communication and ensuring smooth operations within the network management and provider relations department
Maintains an understanding of contract language in order to support financial and operational impact and legal implications of requested contract changes
Performs analysis of network contracts while supporting strategy development and implementation to ensure industry-proven best practices are instilled within the company's strategies and end-product offerings
Provides support for regulatory and out-of-network daily initiatives while maintaining compliance with the company's regulatory, safety, quality, and confidentiality protocols and standards
Handles the comprehensive review of contracts, from initial writeup through to formalized signage and implementation, leveraging standardized tools and end-to-end quality processes
Maintains contracts, including making changes and updates to specifically review contract language and identify modifications from the current thrust and scope
Communicates closely with all internal and external partners to drive effective and appropriate geographically-competitive broad access throughout the network
Initiates and completes business relationships with associated partners to successfully enhance the company's competitive advantage and network capabilities
Coordinates with key providers to finalize contracting and credentialing processes while contributing to the company's overall revenue and profitability targets
Makes recommendations for training and process improvements to prevent future errors and ensure a high level of satisfaction and loyalty
Requirements:
5 years of administration and or data entry experience
5 years experience in Microsoft Office applications
Strong communcaiton and collaboration skills
Nice to have:
5+ years work experience
Healthcare experience
Adept at problem solving and decision making skills