Network Management - Analyst

Job DescriptionThe Credentialing Specialist is responsible for a variety of tasks and functions that comprise the oversight and administration of CVS Caremark's pharmacy recredentialing program. This position supports compliance with the delegated credentialing responsibilities of our Managed Medicaid clients in accordance with Title 42 of the Code of Federal Regulations, Chapter IV Medicare & Medicaid Services, Department of Health & Human Services, Subchapter C, Part 455, Subpart B and E.This position has a heavy emphasis on client reporting, and data management. Responsibilities include monitoring pharmacy response progress, maintain accurate credentialing records, respond to pharmacy questions, and provide pharmacies with technical support related to recredentialing submission.Pay RangeThe typical pay range for this role is:Minimum: 40,560Maximum: 81,100Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.Required Qualifications5+ years professional work experience.Microsoft Office - Proficient in Excel, Access, Word, and SQL Server Management Studio.Self-Disciplined with strong organization skills, ability to meet strict deadlines. High level of productivity, responsibility, attendance, and dependability.Proactive work ethic and self-motivated; ownership of the position , and a positive attitude. High focus on detail, accuracy, and quality.Good written/verbal communication skills. Must be able to write clear and concise documentation, work instructions, and responses to pharmacy questions.Preferred QualificationsMicrosoft Office - Advanced Level in Excel, Access, Word, and SQL Server Management Studio.EducationA Bachelor's Degree from a four-Year College or university; or equivalent combination of education and experience.Business OverviewBring 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. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

Created: 2025-09-06