CVS Health

Bringing our heart to every moment of your health.

Analyst, Payer Relations

AnalystAnalystFull TimeRemoteTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Massachusetts

Posted

31 days ago

Salary

$43.9K - $93.6K / year

Bachelor Degree3 yrs expEnglish

Job Description

• Manage, maintain, and regularly update payer fee schedules and methodology in rate management system for assigned payer contracts • Monitor effective dates, rate changes, and contract modifications • Support validation efforts to ensure payer reimbursement aligns with contracted terms • Identify changes to payer information via newsletters, bulletins, policy updates, and payer portals • Monitor communication channels and share updates with Payer Relations leads • Manage field-facing payer information to optimize accurate handling of patient registration • Partner with internal teams to ensure accurate and timely contract alignment and payment accuracy • Act as the subject matter expert for the availability and effectiveness of payer communication channels • Build and maintain strong working relationships with internal stakeholders and external payer counterparts • Assist in researching and resolving payer related operational issues • Maintain documentation repositories for payer policies, requirements, and fee schedules

Job Requirements

  • 1–3 years of experience in healthcare operations, contracting, revenue cycle, payer relations, network management, or related fields
  • Strong analytical and organizational skills with high attention to detail
  • Ability to navigate and identify key information within payer policies, reimbursement structures, and operational guidance
  • Excellent communication and collaboration skills
  • Proficiency with Microsoft Excel, Microsoft Teams and reporting tools
  • Experience working with payer contracts, reimbursement methodologies, and healthcare billing standards (preferred)
  • Demonstrated skills navigating payer tools and relationships to obtain key payer information (preferred)

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
  • Confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Related Categories

Related Job Pages

More Analyst Jobs

Senior Director Analyst – Cloud Licensing, Commercial Negotiations

Gartner

We deliver actionable, objective insight that drives smarter decisions and stronger performance.

Analyst31 days ago
Full TimeRemoteTeam 10,001+Since 1979H1B Sponsor

Sr Director Analyst guiding cloud licensing and negotiations for Gartner

AWSAzureCloudGoogle Cloud Platform
Texas
$172K - $202.5K / year

Junior Program Control Analyst Intern

CACI International Inc

Expertise and Technology for National Security

Analyst31 days ago
InternshipRemoteTeam 10,001+Since 1962H1B No Sponsor

Junior Program Control Analyst intern providing support in program management at CACI

United States
$39.4K - $63.9K / year

Data Mining Analyst

MedReview Inc.

MedReview Inc. helps payors identify inaccurate medical claims to save millions in overpayments.

Analyst31 days ago
Full TimeRemoteTeam 201-500H1B No Sponsor

Junior Data Mining Auditor focused on claims resolution data auditing

United States
$75K / year

Principal EVMS Implementation Analyst

Leidos

Leidos is an innovation company rapidly addressing the world’s most vexing challenges in national security and health.

Analyst31 days ago
Full TimeRemoteTeam 10,001+Since 1969H1B Sponsor

EVMS Implementation Analyst leading responsibilities at Leidos

PMP
United States
$116.4K - $210.3K / year