Provider Data Service Specialist - Fully Remote

About the role

Provides operational support and performs data maintenance and clean-up for data transactions (basic to complex). Performs data transactions and maintenance associated with projects, expansions, and new product implementations. Works with other departments to ensure quality provider data to our members.

Responsibilities

• Maintains and updates provider demographic and contract information, including contractually sensitive or complex transactions, in appropriate systems in support of claims adjudication and provider directory.
• Works collaboratively with internal/external constituents to implement new networks and complex contractual arrangements.
• May provide technical and/or functional leadership within unit (i.e., team lead).
• Performs validation of system enhancements.
• Identifies, researches and conducts root cause analyses (e.g., problem providers identified by PST, trends from routine PDS audits) and collaborates cross-functionally within the organization to recommend process improvements.
• Conducts and manages audits of provider information and escalates issues for resolution as appropriate.

Requirements

• 1+ years of maintaining information within multiple databases.
• 1-2 years of provider data service background.
• Demonstrated ability to handle multiple assignments.
• Demonstrated ability to work in a production environment.
• Proficient in Microsoft Office Applications with advanced skills in Excel.
• Demonstrated success prioritizing work and the ability to multi-task in a fast-paced environment.
• Demonstrated success in collaborating with others to meet/exceed expectations.
• Experience providing clear and concise written and verbal communications.

Preferred Qualifications

• EPDB experience.

Qualifications

Associate's degree or equivalent work experience.

Pay

The typical pay range for this role is $17.00 - $31.30 per hour. 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

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. Benefits include:

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources.

Schedule

• Full time.
• 40 hours per week.