Network Relations, Senior Analyst

Job Summary Acts as the primary liaison for assigned geography of integrated providers (i.e., market/regional/national, large group) to establish, oversee, and maintain provider risk management and positive relationships and supports high value initiative activities. Responsibilities Conduct provider education, ensure contract compliance, provider communication, claims research and assist with resolution. Implement internal and external solutions to achieve provider satisfaction, cost targets, network growth, and efficiency targets. Required Qualifications 3-5 years of provider relations and/or network management experience. Experience working with all reimbursement payment methodologies. Experience working with large provider groups, capitated agreements, and behavioral health providers. Excellent written, oral, and interpersonal communication skills. Computer literate in Word, Excel, Microsoft Office. Flexible and able to handle a highly fast‑paced environment. Must reside in North or South Carolina. Preferred Qualifications Knowledge of Medicare programs. Knowledge of various Behavioral Health and Commercial payment methodologies. Medical claims processing knowledge. Experience working within Provider Databases (e.g., EPDB). Critical thinking, problem resolution, and ability to work independently. Excellent time management skills. Education Associate Degree or equivalent combination of education and experience. Compensation & Benefits Pay Range: $46,988.00 – $91,800.00 – base hourly rate or base annual full‑time salary. The actual offer will depend on experience, education, geography, and other factors. This position is eligible for a CVS Health bonus, commission, or short‑term incentive program in addition to the base pay range. Benefits: medical, dental, and vision coverage; paid time off; retirement savings options; wellness programs; and other resources based on eligibility. #J-18808-Ljbffr 4062 Aetna Resources, LLC