Sr Analyst Network Relations

Company: Nurses Co
Location: Tallahassee
Posted on: November 19, 2023

Job Description:

Job DescriptionOptimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships. Monitors service capabilities and collaborates cross-functionally to ensure that the needs of constituents are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved. Supports or assists with operational activities that may include, but are not limited to, database management, and contract coordination. Performs credentialing support activities as needed. Educates providers as needed to ensure compliance with contract policies and parameters, plan design, compensation process, technology, policies, and procedures. Meets with key providers periodically to ensure service levels are meeting expectations. Manages the development of agenda, validates materials, and facilitates external provider meetings. May collaborate cross- functionally on the implementation of large provider systems, to manage cost drivers and execute specific cost initiatives to support business objectives and to identify trends and enlist assistance in problem resolution. Conduct standard provider recruitment, contracting, or re- contracting activities and assist with more complex contracting and discussions as needed by business segment. May provide guidance and training to less experienced team membersPay RangeThe typical pay range for this role is:Minimum: 43,700Maximum: 97,400Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required QualificationsBachelors Degree or equivalent combination of education and experience. 3+ years experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation.3-5 years experience with business segment specific policy, benefits, plan design and language.Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills.Working knowledge of business segment specific codes, products, and terminology.COVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred QualificationsBilingual and reside in one of the following counties: Hardee, Highlands, Hillsborough, Manatee or Polk and must be willing to travel all surrounding counties in region 6 - mentioned above.EducationBachelors Degree or equivalent combination of education and experience. 3+ years experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation.3-5 years experience with business segment specific policy, benefits, plan design and language.Strong verbal and written communication, interpersonal, problem resolution and critical thinking skills.Working knowledge of business segment specific codes, products, and terminology.Business OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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Keywords: Nurses Co, Tallahassee , Sr Analyst Network Relations, Professions , Tallahassee, Florida