Network Relations Specialist Jobs

This exciting role is a fast-paced healthcare provider support role, intended to foster a positive provider experience by responding to provider inquiries, performing provider demographic updates and data audits, as well as
other provider initiatives.

• Respond to provider inquiries (Network Assistance Form tickets) spanning several types of inquiries (ex: status of their application)
• Work with internal cross-functional partners to submit information updates into various provider data systems
• Manage the provider application / onboarding process and workflow within internal systems, ensuring information is collected and documented against workflow standards.
• Research provider requests for demographic data maintenance to validate accuracy of change request and/or if more information may be needed. Interact with provider to close information gaps where necessary.
• Role will be oriented to specific workflow supporting these tasks, and will generally follow these workflow expectations towards production expectations
• Role will conduct necessary independent research/outreach/steps to resolve provider situations within specified turnaround times
• Role will interact with external providers and must demonstrate appropriate professionalism and communication standards
• Role is responsible for achieving production volume standards as defined by department management, and may only focus on specific aspects of the provider application / inquiry / data integrity processes (as defined by management)
• Ensure accuracy of our provider applications, inquiry responses, and all corresponding data by engaging in related review and audit processes

Pay Range
The typical pay range for this role is:
Minimum: 18.50
Maximum: 34.60
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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit

jobs.CVSHealth.com/benefits

Required Qualifications

• 2-5 years data entry experience
• 1-2 years of working with provider data
• Strong excel experience

Preferred Qualifications

• Strong communication, attention to detail, critical thinking, problem resolution and interpersonal skills.
• 1-3 years working knowledge of RUMBA
• 1-2 years of PRMS (Salesforce)
• EPDB and SFE knowledge is preferred.

Education
Associate degree or equivalent combination of education and experience.
Business Overview
Bring your heart to CVS Health Every 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. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.