[Hiring] Senior Analyst, Network Operations @CVS Health

Role Description

The Senior Analyst, Network Operations is a key role within the Network Operations function. The role is responsible for business operations managing Aetna’s provider network, which accounts for >$30Bn in annual medical claims spend. Business operations includes, but is not limited to:

• Facilitating new provider applications
• Managing provider inquiries and assistance requests
• Ensuring provider data and demographic information is maintained current

The role is a senior individual contributor position with a broad span of influence over responsible areas. It requires:

• Accurate decisions on processes and directions for work
• Interactions with appropriate local market colleagues
• Identifying, evaluating, and acting on trends impacting market objectives
• Demonstrating independent judgement, discretion, and authority

The ideal candidate will use their professional and technical experience, extensive Aetna systems knowledge, and internal cross-functional relationships to successfully complete their responsibilities, notably with common, non-standard provider requests and/or situations. The Senior Analyst will use advanced interpersonal skills to interact cross-functionally with multiple business areas to ensure timely completion of work and be responsible for achieving production volume and TAT standards as defined by department management.

Qualifications

• 3+ years' experience in Network or related business environment with exposure to provider systems, processes, etc.
• Strong organizational skills with demonstrated ability to balance multiple concurrent priorities
• Strong communication, critical thinking, problem resolution, and interpersonal skills
• Working knowledge of business systems, applications, and tools
• Desktop Tool experience - Microsoft Office

Requirements

• Experience working with provider data and internal systems EPDB, PDMS, PRMS, and SCM
• Strong communication, critical thinking, problem resolution, interpersonal, and research skills
• Able to manage expectations, multi-task, and maintain strong relationships both internally and externally
• Independent thinker with strong analytical skills

Education

• Bachelor’s Degree or equivalent combination of education and experience

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility

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.