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Senior Analyst
CVS Health. Support recruitment, onboarding, and retention of ABA and behavioral health providers .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in healthcare network management, provider relations, and operational enhancements, with a strong focus on data analysis and reporting. Proficient in managing provider networks while ensuring compliance with regulatory standards and improving provider performance metrics.
Highest-signal resume keywords
Healthcare Network ManagementProvider RelationsData Analysis and ReportingCredentialing and ContractingRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Data AnalysisProvider Network ManagementCredentialingContractingPerformance BenchmarkingValue-Based CareProvider Quality MeasurementOperational EnhancementsBusiness Requirements GatheringProcess Improvement
Soft Skills
Analytical SkillsProblem-SolvingCommunication SkillsOrganizational SkillsCollaboration
Tools & Technologies
Microsoft ExcelPower BIReporting PlatformsProvider Network Management Systems
Industry Keywords
Behavioral HealthManaged Care OrganizationsHealth PlansProvider OperationsNetwork Adequacy StandardsASD ServicesABAPay-for-Performance Programs
About the role
Key responsibilities & impact- Support recruitment, onboarding, and retention of ABA and behavioral health providers
- Serve as a primary contact for provider organizations and practitioners regarding network participation, operational concerns, and escalated service issues
- Build and maintain provider relationships
- Analyze provider network data to identify trends, coverage gaps, capacity constraints, and network expansion opportunities
- Monitor network adequacy standards and access-to-care metrics
- Develop and present reports, dashboards, and recommendations using Excel, Power BI, and other reporting platforms
- Assess provider utilization, performance, and participation patterns
- Investigate and resolve provider inquiries related to credentialing, demographic maintenance, and network participation
- Partner with operations teams to address provider data accuracy and system or operational issues
- Coordinate provider demographic updates across systems and directories
- Support new processes, programs, and operational enhancements affecting provider networks
- Collaborate with contracting teams on provider recruitment, contract execution, amendments, and renewals
- Support credentialing and recredentialing activities
- Track provider onboarding and required documentation
- Gather, analyze, and document business requirements for provider network management initiatives
- Evaluate workflows and recommend process and system improvements
- Participate in cross-functional behavioral health growth and network transformation projects
- Ensure provider network activities align with state, federal, accreditation, and organizational requirements
- Support audits, regulatory requests, network reporting, and quality improvement initiatives
Requirements
What you’ll need- 3-5 years of experience in healthcare network management, provider relations, provider operations, behavioral health administration, or related healthcare roles
- Experience working with provider networks, credentialing, contracting, claims, or provider service operations
- Strong analytical and problem-solving skills
- Experience managing multiple priorities and collaborating across a matrixed organization
- Excellent verbal and written communication skills, including presenting data-driven insights to leadership
- Proficiency in Microsoft Office applications, particularly Excel, and Power BI
- Exceptional organizational skills and attention to detail
- Bachelor's degree is preferred in Business, Healthcare Administration, Public Health, Behavioral Health, or a related field
- Equivalent combination of education and relevant experience may be considered
- Preferred experience with health plans, managed care organizations, payers, or behavioral health organizations
- Provider designation/badging experience
- Value-Based Care and Pay-for-Performance program experience
- Knowledge of ASD services, ABA, and behavioral health provider operations
- Familiarity with network adequacy standards, provider contracting, credentialing, and regulatory compliance requirements
- Provider quality measurement frameworks and performance benchmarking
- Experience supporting provider data management and provider directory accuracy initiatives
- Experience with provider network management systems and reporting platforms
- ABA quality measures and Institute of Quality methodology experience
- Member-facing provider navigation and search experience
- Ability to build collaborative relationships with providers and cross-functional business partners
Benefits
Comp & perks- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program in addition to base pay