Provider Data Services Administrator (Remote)

CVS Health
1d$19 - $35Remote

About The Position

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 CVS Health has an opportunity for a full-time Provider Data Services Administrator. The Provider Data Services Senior Administrator is responsible for supporting the loading of new and revised Medicaid participating provider data transactions into Aetna/CVS source systems. This role requires strong analytical skills and the ability to work with large data sets in a fast-paced environment.

Requirements

  • 2-3 years of relevant work experience in the healthcare industry.
  • Advanced Excel skills (VLOOKUP, XLOOKUP, CONCATENATE, formulas, etc.).
  • Proficiency in Microsoft Word and Teams.
  • High school diploma or equivalent work experience.

Nice To Haves

  • Problem solving and decision-making skills.
  • Experience working with large data sets and performing data analysis.
  • Strong analytical skills (writing, modifying, and interpreting queries).
  • Excellent organizational and time management skills.
  • Self-motivated with a strong work ethic.
  • Ability to learn quickly and work independently.
  • Innovative mindset with a willingness to propose new ideas and solutions.
  • Support a positive team environment.

Responsibilities

  • Daily activities include provider data service, supporting data compliance and directory alignment within QNXT while handling tickets and cases coming in from providers.
  • Proactively define, identify and recommend process enhancements or modifications to support business strategic goals.
  • Meet and support established departments productivity, quality, and compliance metrics.
  • Performing data compares and working with Large Data Sets.
  • Following area protocols, standards, and policies to provide effective and timely support.
  • Attending required department trainings to support learning.

Benefits

  • Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
  • Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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