Senior Network Analyst

CVS Health

2d

About The Position

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 Sr Analyst will join the OhioRISE Plan’s 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.

Requirements

• 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

Nice To Haves

• 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

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

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree