Senior Analyst, Provider Escalations

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 Aetna Better Health is seeking an experienced Senior Analyst, Provider Escalations (Associate Manager) to support the resolution of high-stakes, complex provider issues escalated from executive leadership, regulatory agencies, and legislative offices. Working closely with the Senior Manager, Provider Escalations, this role manages sensitive inquiries from the CEO, COO, Oklahoma Health Care Authority (OHCA), state legislators, and other key stakeholders. The ideal candidate will demonstrate strong crisis management skills, professional presence, and the ability to navigate complex healthcare operations while maintaining positive provider relationships during challenging situations. This position is based in Oklahoma and operates in a remote capacity. Key Responsibilities Escalation Management & Case Ownership Support the Senior Manager in serving as a liaison for provider escalations originating from C-suite executives, OHCA, legislative offices, and other high-priority stakeholders Assist in overseeing the ABHOK Escalations Mailbox, ensuring all inquiries are acknowledged and responded to within 24 to 48 hours Act as backup to the Senior Manager, Provider Escalations, assuming full responsibility for escalation management in their absence Independently manage assigned complex, high-visibility cases from intake through resolution, ensuring timely and satisfactory outcomes Handle escalated provider issues related to claims processing, roster management, credentialing, payment disputes, and network concerns Ensure all...