Senior Analyst, Network Relations

At CVS Health, were building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nations leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Sr Analyst will join the OhioRISE Plans provider operations team within Network Strategy & Provider Experience and will develop, maintain, and enhance provider relationships. Responsible for data analytics, reporting, and utilization review to inform business decision and optimize operations. This role interface with internal and external stake holders, translating complex data into actionable insight to support business growth and retention.

Key Responsibilities:

• Conducts research, analysis and/or audits to identify issues and propose solutions to protect data, contract integrity, and performance
• Manages and performs scheduled provider surveys to support Access and Availability analyses
• Provides technical expertise for questions related to Multi System Youth (MSY) contracting
• Partner across the organization to support network development and maintenance
• Perform data analysis to support the network services
• Responsible for ticket creation in support of issue resolution
• Other administrative duties as assigned

Required Qualifications

• Associate degree or equivalent combination of education and health care operations experience.

• 4+ years of experience in provider relations, network management, or healthcare analytics.
• Strong understanding of healthcare delivery systems, managed care, and provider contracting, and surveys.
• Proficiency in data analysis tools (e.g., Excel, QuickBase) and healthcare databases.
• Excellent communication, negotiation, and relationship-building skills.
• Ability to manage multiple priorities and work cross-functionally in a fast-paced environment.

Preferred Qualifications

• Experience with Medicaid
• Mastery of problem solving and decision-making skills
• Ability to work in a matrixed organization and gain consensus and share information to various interested parties

Education

Associate degree or equivalent combination of education and health care operations experience.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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 our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

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Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.