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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.

Summary:

Follows processes to assist with processing, insurance verification and authorization, revenue cycle management, compliance, and documentation, as well as customer service and issue resolution. Provides support in ensuring accurate billing, efficient revenue flow, and compliance with regulations.

You will:

+ Handles the onboarding of new providers into company payor websites while ensuring industry-proven best practices are instilled within the company's end product offerings.

+ Provides assistance in developing and improving payor relations workflow while ensuring compliance with the company's regulatory, safety, quality, and confidentiality protocols and standards.

+ Follows up on status and escalates as needed to overcome barriers and proactively address and resolve requests and issues.

+ Initiates user management payor set up and maintenance of all company-controlled provider websites.

+ Gathers and manages provider files and rosters from payors while maintaining compliance with the company's regulatory, safety, quality, and confidentiality protocols and standards.

+ Maintains a professional relationship with insurance companies to successfully enhance and grow the company's Payor Relations structure and depth.

+ Communicates with internal cross-functional partners to document, analyze, and submit information updates into key provider data systems.

+ Provides assistance regarding education, contract questions, and non-routine claim issues to junior team members.

+ Conducts provider refresher training to proactively address and resolve questions and concerns pertaining to Payor Relations.

Requirement Qualifications:

+ 2 + years of general work experience.

+ 2 + years of experience using excel.

+ 2 + years of experience using outlook in a professional setting.

+ Please note: This is a hybrid position with a set schedule that requires regular in office attendance.

Preferred Qualifications:

+ Medicare/Medicaid experience on the Provider side

+ Adept at problem solving and decision-making skills

+ Ability to work independently

+ Willingness to learn

Education

+ High School Diploma or GED

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

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: 10/24/2025

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.