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CVS Health Network Relations Specialist in Irving, Texas

Job Description

* Candidates will be working from the office in Irving, Texas 3 days a week and from home 2 days a week *- Internally supports and contributes to positive provider relationships by handling routine provider service inquiries and problems regarding policies and procedures, plan design, credentialing process or status, and claims orcompensation process or status. - Supports the maintenance of contract or demographic data.- Triages routine provider issues and internal inquiries regarding policies and procedures, credentialing or claims status, orientation activities, and database or portal information or usage. - Escalates issues as appropriate.- Supports or assists with operational activities that may include, but are not limited to, database management and contract coordination. - Performs credentialing support activities as needed.- Educates providers on portals, protocols, policies, procedures, and services to enhance the overall providerexperience. - May assist with or perform standard provider recruitment or contracting or re-contracting functions and discussions.

Required Qualifications

  • 1-3 years' exposure to business segment specific policy, benefits, plan and product design and language.- 1-3 years' working knowledge of business segment specific codes, products, and terminology.- 1-3 years' related customer service experience preferably with exposure to benefits interpretation.

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

  • Strong verbal and written communication and interpersonal skills.

Education

  • Associate's degree or equivalent work experience.

Business Overview

Bring your heart to CVS HealthEvery 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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