Network Relations, Senior Analyst
CVS Health, Rock Hill, SC, United States
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.
Acts as the primary liaison for assigned geography of integrated providers, (i.e. market/regional
ational, large group) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative activities.
*Conducts provider education, ensures contract compliance, provider communication, claims research and assists with resolution
*Implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.
Required Qualifications
Experienced in working with all reimbursement payment methodologies
3-5 years of provider relations and/or network management experience required
Experienced in working with large provider groups, capitated agreements, behavioral health provider
Must have excellent written, oral, and interpersonal communication skills
Computer literate in Word, Excel, Microsoft Office
Must be flexible and able to handle a highly, fast-paced environment
Must reside in North or South Carolina
Preferred Qualifications
Knowledge of Medicare programs
Knowledge of various Behavioral Health and Commercial payment methodologies
Medical claims processing knowledge
Experience working within Provider Databases (i.e. EPDB) a plus
Critical thinking, problem resolution and ability to work independently
Excellent time management skills
Must be flexible and able to handle a highly, fast-paced environment
Education
Associate Degree or equivalent combination ofeducation and experience
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$46,988.00 - $91,800.00
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.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. 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 (https://learn.bswift.com/cvshealth-mainland) .
We anticipate the application window for this opening will close on: 04/22/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.
Acts as the primary liaison for assigned geography of integrated providers, (i.e. market/regional
ational, large group) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative activities.
*Conducts provider education, ensures contract compliance, provider communication, claims research and assists with resolution
*Implementation of internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets.
Required Qualifications
Experienced in working with all reimbursement payment methodologies
3-5 years of provider relations and/or network management experience required
Experienced in working with large provider groups, capitated agreements, behavioral health provider
Must have excellent written, oral, and interpersonal communication skills
Computer literate in Word, Excel, Microsoft Office
Must be flexible and able to handle a highly, fast-paced environment
Must reside in North or South Carolina
Preferred Qualifications
Knowledge of Medicare programs
Knowledge of various Behavioral Health and Commercial payment methodologies
Medical claims processing knowledge
Experience working within Provider Databases (i.e. EPDB) a plus
Critical thinking, problem resolution and ability to work independently
Excellent time management skills
Must be flexible and able to handle a highly, fast-paced environment
Education
Associate Degree or equivalent combination ofeducation and experience
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$46,988.00 - $91,800.00
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.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. 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 (https://learn.bswift.com/cvshealth-mainland) .
We anticipate the application window for this opening will close on: 04/22/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.