Senior Analyst, Network Relations
Company: CVS Health
Location: Washington
Posted on: October 8, 2024
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Job Description:
Senior Analyst, Network Relations
Position SummaryAct as a primary resource for all dental products
(DHMO, PPO, Medicare) for providers, sales and marketing, and
Dental Service Centers to aid in the achievement of Aetna Key
Performance Measures. Act as the liaison with the Primary Care
Dentists and Specialists in a specific geographic territory
responsible for overall maintenance and territory management of the
provider network, as a functional subject matter expert,
demonstrating a strong understanding of Aetna's Dental Products and
market position. Negotiation of contract language and provider
compensation. Review quality and service reports with provider and
appropriate staff, contacting Dental providers regarding quality
reviews conducted where unacceptable results were obtained. Timely
response to correspondence from Provider offices, included, but not
limited to termination requests, tax id changes, hold requests,
claim reimbursement, system, directory accuracy and various
contractual issues. Documented resolution and follow through
communicated to all parties. Presentation of DHMO and PPO plan
design, compensation process, claim / encounter submission, and
referral policies during new office orientations and reorientations
via the telephone Knowledge of the competitive market and Aetna's
relevant competitive position, to include member appointment access
Presentation of Aetna's electronic capabilities for dental
providers to achieve Company goals and targets, promote all EDI
initiatives.
Required Qualifications
Preferred Qualifications
EducationBachelor's degree or relevant experience.
Pay RangeThe typical pay range for this role is: $46,988.00 -
$112,200.00. 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.
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.
We anticipate the application window for this opening will close
on: 10/31/2024.
Qualified applicants with arrest or conviction records will be
considered for employment in accordance with all federal, state and
local laws.
About us
Our Work Experience is the combination of everything that's unique
about us: our culture, our core values, our company meetings, our
commitment to sustainability, our recognition programs, but most
importantly, it's our people. Our employees are self-disciplined,
hard working, curious, trustworthy, humble, and truthful. They make
choices according to what is best for the team, they live for
opportunities to collaborate and make a difference, and they make
us the #1 Top Workplace in the area.
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Keywords: CVS Health, Dale City , Senior Analyst, Network Relations, Professions , Washington, Virginia
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