Description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Senior Network Relations Liaison will design, develop, contract, maintain, and enhance relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for members. They will foster growth of and enhance network for the First Health Network.

Joining this team will enable you to be a part of an exciting opportunity where you can manage relationships with our most key health systems, in order to improve the provider experience for the network. This position will be focused on providers in the Minnesota & upper Midwest territories.

In this role, you will:

• Monitor the First Health Minnesota inbox for questions, concerns, and escalations.
• Help distribute questions, concerns, and escalations to the contract managers or director as necessary.
• Review and submit "fix" tickets to either the First Health load team or to payors, such as Aetna.
• Work with internal teams and attend meetings to review status and questions regarding repricing projects or system data.
• First Health system review to determine network data accuracy and par vs non-par status of providers.
• Help internal and external customers with correct processes for escalations, questions, fixes, and general issue resolutions.

Required Qualifications

• 3+ years of experience in business segment environment servicing providers with exposure to benefits and/or contract interpretation, including experience with claims systems and network databases.
• 3-5 years of experience with business segment specific policy, benefits, plan design, and language.
• Ability to work Central Standard Time hours.

Preferred Qualifications

• Strong verbal and written communication, interpersonal, problem resolution, and critical thinking skills.
• Excellent relationship building skills.
• Working knowledge of business segment specific codes, products, and terminology.
• Currently resides in Minnesota.
• Bachelor's degree.

Education

• High school diploma or GED.

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $122,400.00

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 09/10/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.