JobsUSANegotiator Analyst (Level I)
Company : Hispanic Alliance for Career Enhancement
Location : Boston, MA, 02298
Posted Date : 15 September 2025
Job Type : Full Time
Category : Legal
Occupation : Negotiator
Job Details
Overview
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues, caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary
The Negotiator Analyst is responsible for negotiating out-of-network (OON) medical claims valued at $10,000 and above. This role involves learning the negotiation role, understanding (U&C) calculated rates and benchmarking of medical costs. The individual will be developing their role as a negotiator, working with training staff, and team members as more complex cases and strategies are developed.
Responsibilities
Negotiate OON medical claims and participate in developing negotiation strategies. Learn and apply understanding of Usual & Customary calculations and benchmarking of medical costs. Collaborate with training staff and team members to handle increasingly complex cases.
Qualifications
- Required Qualifications
- 3-5 years of experience in a medical claim background with understanding of benchmarking costs for medical services, supplies, and drugs.
- Medical provider/business office phone call handling history.
- Strong mathematical skills.
- Preferred Qualifications
- Coding experience, CMS, and/or CPC Certification.
- Strong verbal and written communication skills.
- Proficient in Usual and Customary (calculations) and cost-benchmarking for drugs, supplies, and services.
- Associate's Degree.
Education
- High School Diploma or GED.
Anticipated Weekly Hours
40
Time Type
Full time
Pay Range
The typical pay range for this role is:
$46,988.00 - $122,400.00
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.
Benefits
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
- 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
We anticipate the application window for this opening will close on: 09/22/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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