Provider Data Service Senior Coordinator

CVS Health

97d • $17 - $25

About The Position

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 Responsible for automating and manually loading all new and revised participating provider data transactions. Manages and resolves third-party contracted reimbursement issues into applicable systems.

Requirements

• Working knowledge of problem solving and decision-making skills
• 5+ years' work experience
• Strong communication skills
• Microsoft Excel working knowledge and experience
• Demonstrated success prioritizing work and the ability to multi-task in a fast-paced environment
• Ability to work independently

Nice To Haves

• Prior QNXT or Prodata experience is a plus
• Previous data entry experience

Responsibilities

• Maintains and updates provider demographic and contract information in appropriate systems to support claims adjudication and provider directories.
• Follows area protocols, standards, and policies to provide effective and timely support.
• Coordinates with internal/external constituents to implement new networks and complex contractual arrangements.
• Communicates directly with providers and/or outside vendors to clarify data quality issues.
• Manages audits of provider information to escalate issues for resolution as appropriate.
• Takes direction to execute techniques, processes, and responsibilities.

Benefits

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access

What This Job Offers

• Job Type: Full-time
• Education Level: High school or GED