Provider Data Services Senior Coordinator

CVS Health

1d • $19 - $39

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 The Provider Data Services, Senior Coordinator automates and manually loads, maintains, and resolves all new and revised participating provider data transactions (basic to complex) that are contractually sensitive or strategic in nature for Aetna's National Provider business. This role 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 provider and complex contractual arrangements. - Directly contacts providers and/or outside vendors to clarify data quality issues. - Conducts and manages audits of provider information and escalates issues for resolution as appropriate.

Requirements

• Provider Data Services background (1-3 years) or Network background (1-3 years)
• Demonstrated ability to handle multiple assignments
• High school diploma, G.E.D., or equivalent experience

Nice To Haves

• Great communication skills both oral and written
• Analytical thinker
• Proficient with MS Suite (Excel, Word)

Responsibilities

• automates and manually loads, maintains, and resolves all new and revised participating provider data transactions (basic to complex) that are contractually sensitive or strategic in nature for Aetna's National Provider business
• 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 provider and complex contractual arrangements
• Directly contacts providers and/or outside vendors to clarify data quality issues
• Conducts and manages audits of provider information and escalates issues for resolution as appropriate

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.

What This Job Offers

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