Jobs · New Jersey

Senior Network Relations Analyst

CVS Health · Trenton, NJ · 3 wk ago
Hybrid$47k/yrFull-time

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.

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, procedures, plan design, contract language, claims, compensation, and provider education.
  • Collaborate with internal business partners to resolve escalated concerns and ensure operational excellence.
  • 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).

Preferred Qualifications

  • 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.

Qualifications

  • Bachelor’s degree in Business, Healthcare Administration, or a related field or equivalent combination of education and relevant work experience.

Schedule

  • Full time
  • 40 hours per week

Pay

The typical pay range for this role is $46,988.00 - $112,200.00 annually. This pay range represents the 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 also eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.

Benefits

  • Medical, dental, and vision coverage.
  • Paid time off.
  • Retirement savings options.
  • Wellness programs.
  • Other resources based on eligibility.

Similar jobs

Senior Network Engineer

Soft Tech ConsultingAlexandria, VA· 1 mo ago
Information Technologyapply on careers-softtechconsulting.icims.com

Senior Network Engineer

Sierra Central Credit UnionYuba City, CA· 1 mo ago
Information Technologyapply on click2apply.net

Senior Network Engineer

Tundra Technical SolutionsArlington, VA· 1 mo ago
Engineeringapply on amazon-directsource.talentnet.community

Senior Network Engineer

The Container StoreCoppell, TX· 3 mo ago
Information Technologyapply on careers-containerstore.icims.com