CVS Health

Compensation

Full Description

Job Description: • Acts as the primary resource for assigned, high profile providers and/or groups • Establish, oversee, and maintain positive relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures • Optimizes interactions with assigned providers and internal business partners • Monitors service capabilities and collaborates cross-functionally to ensure that the needs of constituents are met • Supports or assists with operational activities that may include database management, and contract coordination • Performs credentialing support activities as needed • Educates Medicaid providers to ensure compliance with contract policies and parameters • Meets with key providers at regular intervals to ensure service levels meet expectations • Manages the development of agenda, validates materials, and facilitates external provider meetings • Collaborates cross-functionally with the implementation of large provider systems • May provide guidance and training to less experienced team members Requirements: • A minimum of 5 years' work experience in healthcare • Minimum of 3 years' experience in Medicaid Managed Care business segment environment servicing providers with exposure to benefits and/or contract interpretation • Working knowledge of business segment specific codes, products, and terminology • Travel within the defined territory up to 50% of the time • Must reside in Pennsylvania for PA CHIP contract (Philadelphia and Southeastern PA Region - preferred within 1 hour drive of Philadelphia, PA) 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 • Financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access • Many other benefits depending on eligibility