Provider Data Services Administrator

Maintained Duties

• 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.
• Provides 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.

Qualifications

• Provider Data Services background (3-5 years)
• Demonstrated ability to handle multiple assignments
• Demonstrated ability to facilitate meetings and make accurate records
• 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

• At least 3 to 5 years EPDB experience
• SCM Provider Tab maintenance experience
• Demonstrated ability to utilize analytical and independent thinking skills

Education

• Associate’s degree or equivalent work experience

Pay and Benefits

The Typical Pay Range For This Role Is $18.50 - $42.35. 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.

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: 07/18/2026

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