Job Location: Michigan
Network Implementations / Business Analysts
Fundamental Components
- Implements networks for Domestic, Direct-To-Employer (DTE), Aetna, and non-Aetna for new groups.
- Subject matter expert for network files, network IDs, and PPO codes.
- Agile Team product owner for Claims Routing (CRO).
- Submits IT tickets and performs UAT for new implementations and issue resolution.
- Performs research for network issues and partners with EDI IT and Wholesale Operations on resolution.
- Coordinates DocConnect implementations with vendor, Perspecta, for custom provider directories and research/resolves technical issues.
Pay Range
The typical pay range for this role is:
Minimum: 43,700
Maximum: 97,400
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
- Minimum of one year of recent and related direct customer service experience.
- Minimum one year of recent and related Aetna or Meritain claim processing experience.
- Demonstrated proficiency with personal computer, keyboard navigation skills and with MS Office Suite applications.
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
Preferred Qualifications
- Excellent written and oral communication skills.
- Ability to work collaboratively within work teams.
- Ability to manage multiple priorities.
- Highly organized and able to quickly prioritize multiple assignments with high quality results.
- Knowledge of Meritain systems and products.
- Strong customer service skills.
- Ability to interact with different groups of people at different levels and provide assistance on a timely basis.
- Analytical skills
Education
High school diploma, G.E.D or equivalent experience
Business Overview
Bring your heart to CVS Health
Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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