Senior Analyst, Provider Escalations (associate Manager)

CVS Health

Oklahoma, US
Base: $46,988.00 - $91,800.00; bonus/equity: eligi...
Fully remote
Provider escalation management
Healthcare operations experience
Medicaid program knowledge
This role supports resolution of high-stakes, complex provider issues escalated from executive leadership, regulatory agencies, and legislative offices

Job Summary

  • This role supports resolution of high-stakes, complex provider issues escalated from executive leadership, regulatory agencies, and legislative offices.
  • The position offers a comprehensive and competitive mix of pay and benefits investing in the physical, emotional, and financial wellness of colleagues and their families.
  • The Senior Analyst acts as a liaison for provider escalations and collaborates across multiple departments to implement remediation strategies and improve processes.

Matching Summary

This role supports resolution of high-stakes, complex provider issues escalated from executive leadership, regulatory agencies, and legislative offices.

Salary

Base: $46,988.00 - $91,800.00; Bonus/Equity: Eligible for bonus, commission or short-term incentive; Benefits: Comprehensive medical, 401(k), stock purchase, wellness programs

Skills & Requirements

Must-have

  • Provider escalation management
  • Healthcare operations experience
  • Medicaid program knowledge
  • Claims processing expertise
  • CRM platform proficiency
  • Crisis management skills
  • Case documentation accuracy

Nice-to-have

  • Legislative inquiry exposure
  • Training and knowledge sharing
  • Cross-functional collaboration
  • Process improvement initiatives
  • Emotional intelligence
  • Professional presence
  • Root cause analysis

Key Requirements

  • 5-7 years healthcare operations experience
  • 2-3 years supervisory or escalation role
  • Experience with Medicaid and government stakeholders
  • Advanced proficiency with QNXT system
  • Expert-level CRM knowledge
  • Bachelor's degree or equivalent experience

Work Rights

Not specified

Tailored Resume

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