CVS Health is looking for a Payer Integrity Analyst, Revenue Cycle to play a key role in our mission to transform health care. You will support the implementation, maintenance, and optimization of payer contracts, ensuring seamless integration into our systems and workflows.
What You'll Do
- Research, document, and maintain payer-specific requirements for system implementation.
- Manage and update payer fee schedules for assigned contracts.
- Support the implementation of new services in collaboration with MinuteClinic operations.
- Serve as the primary point of contact for assigned payers.
- Partner with internal teams to ensure contract alignment and execution.
- Build and maintain strong relationships with internal and external stakeholders.
- Identify and implement process improvements, automation opportunities, and workflow enhancements.
- Assist in onboarding and training new team members.
- Contribute to the development of standardized policies, procedures, and training materials.
- Collaborate with departments such as Credentialing, Billing, Compliance, Legal, Marketing, and Call Center teams to ensure effective contract integration.
- Support data analysis and reporting to inform business decisions and contract strategies.
What We're Looking For
- 5+ years of experience in the health insurance industry.
- Strong knowledge of insurance payers and contract structures (national, regional, or local payers).
- Proficiency in Microsoft Excel (Pivot tables, VLOOKUP) and Microsoft Teams.
- Excellent communication and collaboration skills.
- High School Diploma or GED.
Nice to Have
- Experience with Epic, AthenaHealth, or similar healthcare systems.
- Background in health plan contract implementation experience.
- Familiarity with contract management systems or similar databases.
- Strong analytical skills with the ability to interpret data and make informed recommendations.
- Experience developing and delivering presentations to stakeholders.
Technical Stack
- Microsoft Excel
- Microsoft Teams
Team & Environment
Works closely with the Lead Contracting Director and cross-functional teams.
Benefits & Compensation
- Compensation: $43,888.00 - $85,068.00
- Affordable medical plan options.
- 401(k) plan with matching company contributions.
- Employee stock purchase plan.
- No-cost wellness screenings, tobacco cessation and weight management programs.
- No-cost confidential counseling and financial coaching.
- Paid time off.
- Flexible work schedules.
- Family leave.
- Dependent care resources.
- Colleague assistance programs.
- Tuition assistance.
- Retiree medical access.
Work Mode
This is a remote position.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
