CVS Health
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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. We do it all with heart, each and every day.
Position Summary
The Senior Network Relations Analyst is responsible for the accurate and timely validation and maintenance of critical provider information and inquiries. Staff review, respond, track, and route provider inquiries received via the Provider Engagement department email box and/or the Provider Relationship Management System. Works closely with internal and external partners to ensure inquiries are handled promptly. Staff may also review claims data and information. The Analyst is responsible for monthly Access and Availability monitoring as required by state regulatory requirements and ensures adherence to business and system requirements for provider network management. Responsibilities
Oversee receipt of and coordinate provider inquiries, review, document, track, and route all issues to ensure timely response and permanent resolution. Review and analyze data to ensure appropriate information is provided. Audit rosters received in the provider relations department email box and work closely with the data team to ensure rosters from providers are accurate. Oversee Access & Availability monthly monitoring process. Review claims data in QNXT when provider inquiries involve claims payment adjudication. Excellent written and verbal communication skills. Conduct or participate in special projects and other duties as assigned. Required Qualifications
Minimum of 2 years’ work experience in healthcare. Experience in medical terminology, CPT, ICD‑10 codes, etc. Experience working with the MS Office suite. Preferred Qualifications
Knowledge of Medicaid regulatory standards for network access, credentialing, claim lifecycle, provider appeals & disputes, and network performance standards. Experience in medical terminology, CPT, ICD‑10 codes, etc. Education
Bachelor’s degree preferred or a combination of professional work experience and education. 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. Great Benefits For Great People
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/benefits We anticipate the application window for this opening will close on: 01/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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The Senior Network Relations Analyst is responsible for the accurate and timely validation and maintenance of critical provider information and inquiries. Staff review, respond, track, and route provider inquiries received via the Provider Engagement department email box and/or the Provider Relationship Management System. Works closely with internal and external partners to ensure inquiries are handled promptly. Staff may also review claims data and information. The Analyst is responsible for monthly Access and Availability monitoring as required by state regulatory requirements and ensures adherence to business and system requirements for provider network management. Responsibilities
Oversee receipt of and coordinate provider inquiries, review, document, track, and route all issues to ensure timely response and permanent resolution. Review and analyze data to ensure appropriate information is provided. Audit rosters received in the provider relations department email box and work closely with the data team to ensure rosters from providers are accurate. Oversee Access & Availability monthly monitoring process. Review claims data in QNXT when provider inquiries involve claims payment adjudication. Excellent written and verbal communication skills. Conduct or participate in special projects and other duties as assigned. Required Qualifications
Minimum of 2 years’ work experience in healthcare. Experience in medical terminology, CPT, ICD‑10 codes, etc. Experience working with the MS Office suite. Preferred Qualifications
Knowledge of Medicaid regulatory standards for network access, credentialing, claim lifecycle, provider appeals & disputes, and network performance standards. Experience in medical terminology, CPT, ICD‑10 codes, etc. Education
Bachelor’s degree preferred or a combination of professional work experience and education. 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. Great Benefits For Great People
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/benefits We anticipate the application window for this opening will close on: 01/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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