Network Relations Specialist (Remote)

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
The Network Relations Specialist is responsible for loading new and updated provider fee schedules into the Service Code Service Rates system. Conducts thorough pre-load and post-load reviews to ensure data accuracy, policy compliance, and successful system updates.Key Responsibilities

• Maintain and update provider fee schedules to support accurate claims processing and timely provider reimbursement.
• Adhere to established protocols, standards, and policies to ensure efficient and compliant operations.
• Utilize tools such as QuickBase, Excel, MS Access, Rate Management System, and Service Code Service Rates to complete tasks.
• Collaborate with internal teams and external partners to implement new rating systems aligned with contractual agreements.
• Communicate with business partners and vendors to resolve data quality issues.
• Respond to audit inquiries related to fee schedule updates.
• Execute assigned tasks with precision, following established techniques and procedures.

Required Qualifications

• Minimum of 3 years of experience in a detail-oriented role.
• Strong problem-solving and decision-making abilities.
• Ability to quickly learn new systems and processes.

Preferred Qualifications

• Proficiency in Microsoft Office Suite (Outlook, Word, Excel, Access).
• Experience with QuickBase.
• High attention to detail and accuracy.
• Ability to thrive in a production-driven environment.

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 - $35.29This 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: 09/22/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Harrisburg, PA

Job ID: CVS-R0711358

Employment Type: FULL_TIME

Posted: 2025-09-16T19:48:28