Provider Relations Liaison (Must reside in Arizona)

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 Provider Relations Liaison designs, develops, contracts, maintains, and enhances relationships with facilities, physicians, and ancillary providers which serve as contractual networks of care for members. This person manages and maintains relationships with healthcare providers within a network by evaluating provider performance, resolving issues or disputes, and collaborating with internal and external stakeholders.Job duties include (but are not limited to)

• Optimizes interactions with assigned providers and internal business partners to establish and maintain productive, professional relationships.
• 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.
• 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.
• 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.

• 2-4 years of experience in provider relations and/or contracting.
• Must reside in Arizona.
• Ability to travel up to 50% of time within Maricopa County, Arizona and surrounding areas.

• Resides in Maricopa County, Arizona.
• Problem solving and decision-making skills.
• Ability to work independently, while maintaining a team-oriented and collaborative nature.
• Strong communication skills, both verbal and written.
• Excellent organizational and time management skills.
• Excellent customer service skills, including the ability to work with external customers, as well as collaborate interdepartmentally.
• Strong technological skills, including a demonstrated proficiency in Microsoft Office Suite.

• Bachelor's degree or equivalent experience (4 years of relevant experience + high school diploma or GED).

• 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.