Behavioral Health Network, Senior Analyst

Location: CT - Hartford

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 Senior Analyst, Behavioral Health Network is responsible for supporting the development, maintenance, and optimization of the Behavioral Health provider network, with a primary focus on Applied Behavior Analysis (ABA) providers and related autism services. This role serves as a key liaison between network management, provider organizations, Provider Data Services, credentialing, and other internal business partners to ensure network adequacy, provider satisfaction, and operational excellence.

The Network Analyst evaluates the BH provider network, analyzes market and provider data, identifies opportunities for network improvement, and supports strategic initiatives that enhance access to high-quality behavioral health services. This individual will also partner closely with providers and internal stakeholders to resolve network-related issues, support credentialing, and contracting activities, and ensure compliance with organizational and regulatory requirements.

Job Duties Include (but Are Not Limited To)

Network Development & Provider Relations

• Support recruitment, onboarding, and retention of ABA and behavioral health providers to meet network adequacy and accessibility goals.
• Serve as a primary point of contact for provider organizations and practitioners regarding network participation, operational concerns, and escalated service issues.
• Build and maintain strong provider relationships to support engagement and network stability.

Network Analysis & Reporting

• Analyze provider network data to identify trends, gaps in coverage, capacity constraints, and opportunities for network expansion.
• Monitor network adequacy standards and access-to-care metrics to ensure compliance with regulatory and business requirements.
• Develop and present reports, dashboards, and recommendations using tools such as Excel, Power BI, and other reporting platforms.
• Assess provider utilization, performance, and participation patterns to support strategic decision-making.

Provider Operations Support

• Investigate and resolve provider inquiries related to credentialing, demographic maintenance, and network participation.
• Partner with operations teams to address provider data accuracy and resolve system or operational issues impacting providers.
• Coordinate provider demographic updates and ensure accurate provider information across all systems and directories.
• Support implementation of new processes, programs, and operational enhancements affecting provider networks.

Contracting & Credentialing Support

• Collaborate with contracting teams to facilitate provider recruitment efforts, contract execution, amendments, and renewals.
• Support credentialing and recredentialing activities to ensure providers meet organizational and regulatory standards.
• Track provider onboarding activities and monitor completion of required documentation.

Business Analysis & Process Improvement

• Gather, analyze, and document business requirements related to provider network management initiatives.
• Evaluate current-state workflows and identify opportunities to improve efficiency, provider experience, and operational performance.
• Participate in cross-functional projects supporting behavioral health growth initiatives and network transformation efforts.
• Recommend process enhancements and system improvements that improve provider and member outcomes.

Regulatory Compliance & Quality Support

• Ensure provider network activities align with state, federal, accreditation, and organizational requirements.
• Support audits, regulatory requests, and network reporting obligations.
• Assist with quality improvement initiatives designed to improve provider performance, network effectiveness, and member access to care.

Required Qualifications

• 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 with the ability to interpret data and identify actionable insights.
• Experience managing multiple priorities and collaborating across a matrixed organization.
• Excellent verbal and written communication skills, including the ability to present data driven insights to leadership
• Proficiency in Microsoft Office applications, particularly Excel, and Power BI.
• Exceptional organizational skills and attention to detail.

Preferred Qualifications

• Experience working within a health plan, managed care organization, payer, or behavioral health organization.
• Provider designation/badging experience.
• Value-Based Care (VBC) experience.
• Pay-for-Performance (P4P) programs.
• Knowledge of Autism Spectrum Disorder (ASD) services, Applied Behavior Analysis (ABA), and behavioral health provider operations.
• Familiarity with network adequacy standards, provider contracting, credentialing, and regulatory compliance requirements.
• Provider quality measurement frameworks.
• 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 (IOQ) methodology experience.
• Member-facing provider navigation and search experience
• Proven ability to build collaborative relationships with providers and cross-functional business partners.
• Bachelor's degree in Healthcare Administration, Business Administration, Public Health, Behavioral Health, or a related field.

Education

Bachelor's degree preferred in Business, Healthcare Administration, Public Health, Behavioral Health, or a related field.

Equivalent combination of education and relevant experience may be considered.

Job Grade

108

40 Hours

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is

$46,988.00 - $112,200.00

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/16/2026

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

Additional Locations: FL - Work from home, LA - Work from home, AR - Work from home, ID - Work from home, IL - Work from home, KS - Work from home, CO - Work from home, AL - Work from home, DE - Work from home, GA - Work from home, IN - Work from home, AZ - Work from home, KY - Work from home, CA - Work from home, CT - Work from home, MA - Work from home, DC - Work from home