Network Relations Specialist

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's 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
Supports and contributes to positive provider relationships by handling routine provider service inquiries and problems regarding policies and procedures, plan design, credentialing process or status, and claims or compensation process or status. Assists managers in the maintenance of contract or demographic data.What you will do

• Executes both routine and non-routine business support tasks for the Network Relations area under limited supervision, referring deviations from standard practices to managers.
• Follows area protocols, standards, and policies to provide effective and timely support.
• Operates routine provider issues and internal inquiries regarding policies and procedures, credentialing or claims status, orientation activities, and database or portal information or usage.
• Handles operational activities that may include, but are not limited to, database management and contract coordination. Prepares providers on portals, protocols, policies, procedures, and services to enhance the overall provider experience. Performs standard provider recruitment or contracting or re-contracting functions and discussions.
• Prepares providers on portals, protocols, policies, procedures, and services to enhance the overall provider experience.
• Takes direction to execute techniques, processes, and responsibilities.

Required Qualifications

• Working knowledge of problem solving and decision making skills
• 5+ years work experience
• Strong data analytical skills to include advanced excel skills
• Written and oral communication skills

Preferred Qualifications
Experience in QuickBase

Advanced Microsoft Excel skills

Education High school diploma or equivalent required. Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$18.50 - $38.82This 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 peopleWe 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 09/03/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Sacramento, CA

Job ID: CVS-R0684478_1001

Employment Type: FULL_TIME

Posted: 2025-08-30T19:43:49