Talent.com
Negotiator Analyst (Level I)
Negotiator Analyst (Level I)CVS Health • Lancaster, CA, US
Negotiator Analyst (Level I)

Negotiator Analyst (Level I)

CVS Health • Lancaster, CA, US
job_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
  • serp_jobs.job_card.full_time
job_description.job_card.job_description

Negotiator Analyst

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 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 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.

What You Will Do

  • Learn to navigate the systems, and create networking, for this role
  • Develop filing, naming conventions, and documentation processes
  • Conduct checklist workups and manage outbound communications via phone, fax, and email to facilitate negotiations.
  • Work up and organize daily cases
  • Make outbound calls, develop provider contacts, and understand production metrics

Required Qualifications

  • 3-5 years of experience in a medical claim background with demonstrated ability and strong understanding of benchmarking costs for medical services, supplies, and drugs.
  • Previous medical provider / business office phone call handling history.
  • Strengths in mathematical, written, and verbal skills.
  • Preferred Qualifications

  • Coding experience, CMS, and / or CPC Certification.
  • Proficient in Usual and Customary (calculations) and cost-benchmarking for drugs, supplies, and services.
  • Education

  • Associates / High School graduate, or equivalent professional work experience.
  • Anticipated Weekly Hours 40

    Time Type Full time

    Pay Range

    The typical pay range for this role is : $43,888.00 - $102,081.00

    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.

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

    serp_jobs.job_alerts.create_a_job

    Negotiator Analyst • Lancaster, CA, US

    Job_description.internal_linking.related_jobs
    Business Analyst

    Business Analyst

    Abacus Service Corporation • Lancaster, CA, US
    serp_jobs.job_card.full_time
    Requisition Number OMF-REQ-0001285 Number of Resources 2 Start Date 6 / 1 / 2023 End Date 11 / 30 / 2023 Work Location MD Remote Location (MD Remote Location, Virtual, MD 00000) Job Title Business Analyst ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Principal Proposal Analyst

    Principal Proposal Analyst

    California Staffing • Littlerock, CA, US
    serp_jobs.job_card.full_time
    Northrop Grumman Aeronautics Systems.Northrop Grumman Aeronautics Systems is currently seeking a Price / Cost Proposal Analyst Level 3 or 4 to join our team! This position will be located on site in ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Board Certified Behavior Analyst

    Board Certified Behavior Analyst

    EMIT Learning • Rosamond, California, USA
    serp_jobs.job_card.full_time
    EMIT Learning is seeking a dedicated and experienced.Board Certified Behavior Analyst (BCBA).As a BCBA you will play a vital role in supporting students with behavioral and developmental challenges...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted
    Renewables Project Finance, Analyst to Associate level - REMOTE

    Renewables Project Finance, Analyst to Associate level - REMOTE

    ThinkBAC Consulting • Lancaster, CA, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    Energy Storage Project Finance Analyst (Analyst to Associate Level).This is an opportunity to join an industry leading renewable energy venture with strong private equity backing that is focused on...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Test & Evaluation (T&E) Engineer / Analyst

    Test & Evaluation (T&E) Engineer / Analyst

    Spectrum Comm Inc • Edwards, CA, US
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Spectrum is seeking highly qualified Engineers and / or Analysts to support Operational Test & Evaluation (OT&E) programs located in Kern, CA. Key Roles and Responsibilities.As an Engineer / Ana...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Area Investigator - Asset Protection

    Area Investigator - Asset Protection

    Vallarta Supermarkets • Palmdale, California, United States
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    Area Investigator Asset Protection.The compensation range provided is in compliance with state specific laws.Factors that may be used to determine your actual rate of pay include your specific skil...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30
    Intake Attorney

    Intake Attorney

    Jobot • Altadena, CA, US
    serp_jobs.job_card.full_time
    Our team is driven by client-centered values, collaborative culture, and a commitment to professional growth.This Jobot Job is hosted by : William Zaranka. Are you a fit? Easy Apply now by clicking t...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Business Analyst, Marketing Programs

    Business Analyst, Marketing Programs

    Sand Cherry Associates • Lancaster, CA, US
    serp_jobs.job_card.full_time
    At Sand Cherry Associates, we excel in the design and delivery of strategic customer-centric initiatives through digitally native, data-empowered solutions. Our client's confidence in us is centered...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Project Analyst

    Project Analyst

    CLEAResult • Lancaster, CA, US
    serp_jobs.job_card.full_time
    At CLEAResult, we lead the transition to a sustainable, equitable, and carbon-neutral energy-efficient future for our communities and our planet. We do that by creating a people-first culture built ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Senior Business Analyst - OP01959

    Senior Business Analyst - OP01959

    Dev.Pro • Lancaster, CA, US
    serp_jobs.job_card.full_time
    We invite a Senior Business Analyst to join our highly specialized engineering team working on a critical financial transaction platform. In this role, you'll analyze and translate business needs in...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Payroll Specialist

    Payroll Specialist

    Vaco by Highspring • Altadena, California, United States
    serp_jobs.job_card.full_time
    Payroll Specialist who will be responsible time keeping records of employees’ hours worked as well as any deductions or withholdings required to comply with state and federal laws in all of our mar...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_30 • serp_jobs.job_card.promoted
    Remote Financial Analyst - AI Trainer ($150 per hour)

    Remote Financial Analyst - AI Trainer ($150 per hour)

    Mercor • Palmdale, California, US
    serp_jobs.filters.remote
    serp_jobs.job_card.full_time
    UK / Canada / Europe / Singapore / Dubai / Australia-based • •Investment Banking or Private Equity Experts • • for a research project with a leading foundational model AI lab. You are a good fit if you : - Have •...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_1_day • serp_jobs.job_card.promoted
    Duty Drawback Analyst (part-time)

    Duty Drawback Analyst (part-time)

    Activate Talent • Lancaster, CA, US
    serp_jobs.job_card.part_time
    Position : Duty Drawback Analyst Type of Contract : Independent Contractor (Part-Time 20 hours / week) Working Hours : MF, PST. Open to candidates in the Philippines and Latin America).A fast-growing gl...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Freelance Market Research Analyst - Financial Services

    Freelance Market Research Analyst - Financial Services

    Euromonitor • Lancaster, CA, US
    serp_jobs.job_card.full_time
    This position is for self-employed contract work only.All work is coordinated remotely.Market research, experience in financial services and fluency in English are key. Euromonitor International is ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Refund Dispute Specialist

    Refund Dispute Specialist

    BrightSpring Health Services • Lancaster, CA, US
    serp_jobs.job_card.full_time
    Amerita is a leading provider of specialty infusion services focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital.As one of the most respec...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Data Analyst

    Data Analyst

    HCLTech • Fremont Valley, CA, United States
    serp_jobs.job_card.full_time
    serp_jobs.filters_job_card.quick_apply
    About HCLTechHCLTech is a global technology company, spread across 60 countries, delivering industry-leading capabilities centered around digital, engineering, cloud and AI, powered by a broad port...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days
    Financial Analyst

    Financial Analyst

    Study.com • Lancaster, CA, US
    serp_jobs.job_card.full_time
    Our mission is to open the door to the life-changing impact of education and help make education accessible for all.As a nimble growth stage start-up, we've emerged as the leading online education ...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_hours • serp_jobs.job_card.promoted • serp_jobs.job_card.new
    Master Planner DEFENSE

    Master Planner DEFENSE

    The Structures Company • Palmdale, California, USA
    serp_jobs.job_card.full_time +1
    JOB TITLE : Master Planner - DEFENSE.Contract (12 months with potential for extension).Active Secret Clearance required; investigation must be within the last 5 years or the candidate must be enrol...serp_jobs.internal_linking.show_more
    serp_jobs.last_updated.last_updated_variable_days • serp_jobs.job_card.promoted