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 established negotiation
guidelines
– Organize and prioritize incoming workload to ensure
turn-around-time, productivity and quality metric are
met
– Work to obtain information such as plan benefits,
insured liability utilizes basic accounting skills to
assist in the negotiation process
– Handle call and written inquiries from providers
related to pre and post negotiations
– Review provider history in Global Claim Services
CMS application to assist in determining appropriate
negotiation thresholds
– Maintain and utilizes all resource and systems to effectively manage day to day responsibilities
– Independently review and resolve claim/billing issues and concerns.

Pay Range
The typical pay range for this role is:
Minimum: 40,600
Maximum: 83,400

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible Employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit

jobs.CVSHealth.com/benefits

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
(Word, Excel, Outlook) and Internet Explorer
– Attention to detail; data entry required
– Able to perform 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
– Possession of an active New York Adjusters License is a plus.

Education
– High School diploma, G.E.D. or equivalent experience.

Business Overview
Bring your heart to CVS Health Every 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.