We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary
The Payer Relations Analyst supports the Retail Health Payer Relations and Business Development team in ensuring effective execution of payer contracts, fee schedules, requirements, and operational alignment. Together with Directors and Managers of Payer Relations (Payer Relations Leads), this role plays a critical part in maintaining positive payer relationships and patient experiences, supporting cross‑functional collaboration, and ensuring operational accuracy across the organization. The Analyst will work closely with teams across Retail Health and external payer partners to support accurate reimbursement, issue resolution, and overall payer performance.

Key Responsibilities

Contract & Fee Schedule Management
•    Manage, maintain, and regularly update payer fee schedules and methodology in rate management system for assigned payer contracts.
•    Monitor effective dates, rate changes, and contract modifications to ensure accurate and timely implementation.
•    Support validation efforts to ensure payer reimbursement aligns with contracted terms.
Payer Information & Payer Requirements 
•    Identify changes to payer information, such as fee schedules, policies, ID Cards, plan/network/product changes and operational guidance via newsletters, bulletins, policy updates, and payer portals.
•    Monitor communication channels and share updates with Payer Relations leads and internal stakeholders to ensure organizational compliance with payer expectations.
•    Manage field-facing payer information to optimize accurate handling of patient registration, contract terms, and any payer nuances or requirements.
Cross Functional Collaboration
•    Along with Payer Lead, partner with internal teams—including Contracting, Revenue Cycle Operations, Payer Analytics —to ensure accurate and timely contract alignment, payment accuracy, and operational execution.
•    Work with Provider Field Leadership to support issue resolution tied to payer processes or contract interpretation.
Relationship Management
•    Act as the subject matter expert for the availability and effectiveness of payer communication channels (public website, secure portal, newsletters, provider relations, etc.)
•    Build and maintain strong working relationships with internal stakeholders and external payer counterparts.
Issue Resolution 
•    Assist in researching and resolving payer related operational issues identified by patient complaints, field inquiries, denied claims or payment variances. Collaborate as necessary with Payer Relations lead for consultation, interpretation, or escalation.
•    Maintain documentation repositories for payer policies, requirements, and fee schedules.
 

Required Qualifications
•    1–3 years of experience in healthcare operations, contracting, revenue cycle, payer relations, network management, or related fields.
•    Strong analytical and organizational skills with high attention to detail.
•    Ability to navigate and identify key information within payer policies, reimbursement structures, and operational guidance.
•    Excellent communication and collaboration skills.
•    Proficiency with Microsoft Excel, Microsoft Teams and reporting tools.

Preferred Qualifications
•    Experience working with payer contracts, reimbursement methodologies, and healthcare billing standards.
•    Demonstrated skills navigating payer tools and relationships to efficiently obtain key payer information that informs reimbursement, coverage, and contractual compliance.
•    Located close to a CVS hub location

Education

Bachelor's degree or equivalent experience is required

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $93,574.00

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: 02/18/2026

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