Cvs Rx Services Inc.

Network Configuration Specialist

Work at Home, Illinois, United States · Junior · Full-time

Sponsorship not specified$47k-$122kDetected 36 days ago

AccessibilityExcelAuditingContract ManagementProblem SolvingCritical Thinking

About the role

The Network Configuration Specialist applies in-depth knowledge of contracting initiatives and data audits to enhance provider networks, while meeting and exceeding accessibility, compliance, quality, and financial goals.
Primary Responsibilities: Assists with establishing and implementing results-based programs and innovative initiatives for the network operations area, under general supervision.

Implements review, design, loading, and auditing of complex contracts, agreements, amendments, and/or fee schedules in contract management systems to enhance provider networks.
Performs other duties as needed.
This person conducts routine review, design, and auditing for complex contract and network data, supports recruitment efforts, and collaborates on negotiations as needed.

3-5 years of experience working with Medicaid and claims.
Demonstrated computer literacy, with an ability to navigate through internal and external computer systems, including Microsoft Excel and SQL.
Ability to work standard business hours from Monday-Friday, supporting Central Standard Time.
Applies in-depth knowledge of the network operations field to offer feedback for decisions and innovation strategies, in an effort to enhance organizational growth and visibility.

Ability to effectively participate in a multi-disciplinary team including internal and external participants.
Ability to use critical thinking skills to analyze claims, contracts, and state regulations for configuration.
Working knowledge of skills supporting execution and delivery (planning, delivering, and supporting).
Working knowledge of business intelligence.
Strong problem solving and decision-making skills.
Bachelor's degree or specialized training/certification.
Our people fuel our future.

$46,988.00 - $122,400.00 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.

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.
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 and on Benefits Moments.

our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.
Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful.
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.
Strong customer service skills to coordinate service delivery, including attention to customers, sensitivity to issues, proactive identification, and resolution of issues, in order to promote positive outcomes for members and providers.

This listing is sourced directly from Cvs Rx Services Inc.'s careers page and normalized into a canonical job model.