Negotiator Analyst (Level I)

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the negotiation role, and understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator, working with training staff, and team members as more complex cases and strategies are developed. What you will do: - Learn to navigate the systems, and create networking, for this role - Develop filing, naming conventions, and documentation processes - Conduct checklist workups and manage outbound communications via phone, fax, and email to facilitate negotiations. - Work up and organize daily cases - Make outbound calls, devel...