Provider Data Services Specialist (Must reside in Arizona)

Position Summary

The Provider Data Services Specialist compares and contrasts the provider system with network data and regulatory sources, in order to ensure accuracy of data feeds to various applications. This person manages provider records to ensure the provider directory is accurate for members, as well as that records are set up appropriately for claims processing. This role involves working in a fast-paced environment with several colleagues serving various functions.

Required Qualifications

• 1-2 years of experience in customer service.
• Must reside in Arizona.
• High school diploma or GED.

Preferred Qualifications

• Demonstrated ability to handle multiple assignments competently, accurately, and efficiently.
• Strong analytical and written/oral communication skills.
• 1-2 years of experience with SQL.
• 1-2 years of experience in Microsoft Excel.
• Previous experience working with QNXT.
• Previous experience with medical claims processing.
• Previous knowledge of medical billing.

Skills

Utilize standard data elements for provider data to feed member directories, claim adjudication, encounter submissions, and regulatory utilization reports.

Benefits

The Typical Pay Range For This Role Is $17.00 - $28.46. 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 anticipate the application window for this opening will close on: 07/28/2026