Network Relations Specialist

CVS Health Job Opportunity

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

Internally supports and contributes to positive provider experience and relationships by handling daily provider service inquiries and problems regarding policies and procedures, plan design, credentialing process or status, and claims or compensation process or status. Supports the maintenance of provider contract or demographic data.

Required Qualifications

1-3 years' related customer service experience

Strong verbal and written communication and interpersonal skills.

Exposure to business segment specific policy, benefits, plan and product design and language.

Working knowledge of business segment specific codes, products, and terminology.

Preferred Qualifications

Exposure to provider relations

Working knowledge of Medicare & Medicaid benefits

Working knowledge of QNXT, EPDB, SCM and Claim Central (EDI) system

Education

Associate's degree or equivalent work experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $35.29

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process.