Cvs Shared Services Resources LLC
Negotiator Analyst (Level I)
Work at Home, Minnesota, United States · Staff+ · Full-time
Sponsorship not specified$44k-$102kDetected 37 days ago
NegotiationOutbound SalesCommunication
About the role
- The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above.
- This role involves learning the negotiation role, and understanding (U&C) calculated rates and benchmarking of medical costs.
Responsibilities
- Learn to navigate the systems, and create networking, for this role Develop filing, naming conventions, and documentation processes Conduct checklist workups and manage outbound communications via phone, fax, and email to facilitate negotiations.
- The individual will be developing their role as a negotiator, working with training staff, and team members as more complex cases and strategies are developed.
Nice to have
- Coding experience, CMS, and/or CPC Certification.
- Proficient in Usual and Customary (calculations) and cost-benchmarking for drugs, supplies, and services.
- Our people fuel our future.
- Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful.
Compensation
- $43,888.00 - $102,081.00 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.
- Our people fuel our future.
- Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
- 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.
Benefits
- 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 The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above.
- Previous medical provider/business office phone call handling history.
Company info
- our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.
- They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.
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