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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 primary purpose of the negotiator position is to collaborate with non-par providers to negotiate the pricing of medical and facility claims to obtain the highest possible success rates, resulting in savings for both the member and Aetna.

As a Negotiator Analyst, you will:

+ Communicate with providers via phone, fax and/or email as set forth under the negotiation guidelines.

+ Organize and prioritize incoming workload to ensure turn-around time, productivity and quality metrics and met.

+ Work to obtain information such as plan benefits, insured liability utilizes basic accounting skills to assist in the negotiation process.

+ Handle calls and written inquiries from providers related to pre and post negotiations.

+ Review provider history in Global Claim Services (CMS) application to assist in determining appropritate negotiation thresholds.

+ Maintain and utilizes all resources and systems to effectively manage day to day responsibilites.

+ Independently review and resolve claim/billing issues and concerns.

Required Qualifications

+ General knowledge on negotiation (through medical billing process, claim processing, or other avenues).

+ Ability to give clear and concise examples of how to negotiate in a professional setting.

+ Proficient written and verbal communication.

+ Possess strong active listening, patience, adaptability and persuasion skills.

+ Working knowledge of Microsoft Office products (Work, Excel, Outlook) and Internet Explorer.

+ Attention to detail; data entry required.

+ Able to preform basic accounting concepts.

+ Capable of building rapport and making decisions independently.

Preferred Qualifications

+ Medical Billing knowledge.

+ Claim Processing experience.

+ Customer Service experience.

+ Familiar with Healthcare terminology

Education

High School Diplomat or Equivalent

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $76,500.00

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.

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: 10/31/2025

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

We are an equal opportunity and affirmative action employer. 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.