Network Operations, Senior Analyst

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

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, and ensuring provider data and demographic information is maintained current.   

The role is a senior individual contributor position.  The role will have a broad span of influence over responsible areas, and it will command the need to make accurate decisions on processes and directions for work, interactions with appropriate local market colleagues.  The Senior Analyst’s ability to identify, evaluate and act on trends impacting market objectives and demonstrate independent judgement, discretion and authority will be critical for success. 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, and may only focus on specific aspects of the provider application / inquiry / data integrity processes.

Required Qualifications

• 3+ years' experience in Network or related business environment with exposure to provider systems, processes, etc. is required 

• 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

*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

Bachelor’s Degree or equivalent combination of education 

and experience.

The typical pay range for this role is:

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. 
 

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