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.

　　Position Summary: Acts as the primary resource for assigned, high profile providers and/or groups (i.e. local, individual providers, small groups/systems) to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs.

　　-Optimizes interactions with assigned providers and

　　internal business partners to establish and maintain

　　productive, professional relationships

　　- Monitors service capabilities and collaborates cross-

　　functionally to ensure that the needs of constituents are

　　met and that escalated issues related but not limited to,

　　claims payment, contract interpretation or parameters,

　　and accuracy of provider contract or demographic

　　information are resolved

　　- 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 Medicaid providers as needed to ensure

　　compliance with contract policies and parameters, plan

　　design, compensation process, technology, policies, and

　　procedures

　　- Meets with key providers regular intervals to ensure

　　service levels are meeting expectations

　　- Manages the development of agenda, validates

　　materials, and facilitates external provider meetings

　　- Collaborate cross-functionally on the

　　implementation of large provider systems, to manage

　　cost drivers and execute specific cost initiatives to

　　support business objectives and to identify trends and

　　enlist assistance in problem resolution

　　- Assist with standard provider recruitment, contracting, or

　　re- contracting activities and assist with more complex

　　contracting and discussions as needed by business

　　segment

　　- May provide guidance and training to less experienced

　　team members

　　Required Qualifications

　　- 3+ years' experience in Medicaid Managed Care

　　business segment environment servicing providers with

　　exposure to benefits and/or contract interpretation

　　- Strong verbal and written communication, interpersonal,

　　problem resolution and critical thinking skills

　　- Working knowledge of business segment specific codes,

　　products, and terminology

　　Preferred Qualifications

　　- Comfortable presenting to small and large groups

　　Education

　　Bachelor's degree or equivalent experience

　　Pay Range

　　The typical pay range for this role is:

　　$54,300.00 - $117,000.00

　　This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

　　In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

　　For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

　　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.

　　CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [email protected] If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.