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Bringing our heart to every moment of your health.
Analyst, Payer Relations
Location
Massachusetts
Posted
127 days ago
Salary
$43.9K - $93.6K / year
Seniority
Senior
Job Description
Analyst, Payer Relations
CVS Health
• 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
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