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Providers Relations Representative (MI) (Medicaid)

Company: CVS Pharmacy
Location: Lansing
Posted on: September 22, 2022

Job Description:

Job Description- Acts as the primary resource for assigned providers, both contracted and non-contracted. - Responsible for establishing, overseeing, and maintaining provider relationships and supporting high value initiative activities. - Serves as the provider liaison for all provider inquiries, provider education, provider communications, and provider contract compliance.Pay RangeThe typical pay range for this role is:Minimum: 43,700Maximum: 97,400Please 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 Qualifications- Field based position, candidate must be able to travel up to 75% of the time. - Must be experienced in working with some reimbursement payment methodologies- 1-3 years of provider relations and/or network management experience required- Computer literate in Word, Excel, and Microsoft OfficeCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred Qualifications- Strong communication, critical thinking, problem resolution and interpersonal skills- Excellent time management skills- Must be flexible and able to handle a highly, fast-paced environment- Knowledge of Medicare and Medicaid programs- Medical claims processing knowledge- QXNT knowledge and/or QuickBase knowledge a plusEducation- Bachelor's degree or equivalent work experience required.Business OverviewBring your heart to CVS HealthEvery 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.

Keywords: CVS Pharmacy, Lansing , Providers Relations Representative (MI) (Medicaid), Other , Lansing, Michigan

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