Negotiator Analyst, Level I
Description:
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.
Requirements:
3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical services, supplies, and drugs. Medical provider/business office phone call handling history. Strong mathematical skills. Preferred Qualifications Coding experience, CMS, and/or CPC Certification. Strong verbal and written communication skills. Proficient in Usual and Customary (calculations) and cost-benchmarking for drugs, supplies, and services. Associate's Degree.
Benefits:
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
Apply Now
Apply Now
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.
Requirements:
3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical services, supplies, and drugs. Medical provider/business office phone call handling history. Strong mathematical skills. Preferred Qualifications Coding experience, CMS, and/or CPC Certification. Strong verbal and written communication skills. Proficient in Usual and Customary (calculations) and cost-benchmarking for drugs, supplies, and services. Associate's Degree.
Benefits:
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
Apply Now
Apply Now