Analyst
Oak St. Health
CVS Health Contract SpecialistWe'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.Drafts, executes, reviews, and analyzes contracts for various clients (i.e. self-funded, fully-insured, public and labor) of a benefits administration company in accordance with company standards while meeting and exceeding accessibility, compliance, quality, and cost initiatives. Verifies contract compliance and adherence to company policies and procedures.Follows established procedures to execute routine business support tasks for the Contract function under general supervision.Assists with negotiating contract terms, payment structures, and reimbursement with other parties to successfully enhance the company's competitive advantage in the industry.Collects documents requested by government departments in order to compile information for government audits.Performs contract certification for consultants and health litigation lawyers.Handles contracts to support subrogation efforts in dollar recovery while certifying subrogation language for consultants.Communicates with internal and external business partners to ensure cross-functional alignment with company goals and objectives.Develops effective relationships with all team members to ensure daily communication to resolve issues and prevent delays in service.Observes contract team performance including metrics and training to ensure compliance with the company's regulatory, safety, quality, and confidentiality protocols and standards.Ensures a high level of customer service, responding promptly, and following established claims protocols and guidelines when interacting with our internal business partners.Required Qualifications:1-2 years experience in healthcare document drafting.1-2 years contract drafting experienceExperience working with Microsoft officePreferred Qualifications:1-2 years of healthcare experience1-2 years of customer service experienceCritical thinking skillsEducation:High School Diploma or GEDAnticipated Weekly Hours: 40Time Type: Full timePay Range: $17.00 - $31.30Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
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