Senior Coordinator, Provider Data Services

CVS Health

1d • $19 - $35

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 Automates and manually loads all new and revised participating provider data transactions. Manages and resolves third-party contracted reimbursement issues into applicable systems. 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. Manages audits of provider information to escalate issues for resolution as appropriate. Takes direction to execute techniques, processes, and responsibilities.

Requirements

• 1-3 years of healthcare work experience
• 1-3 years of customer service experience
• High school diploma or equivalent required.

Nice To Haves

• Excel Experience Preferred
• Proivder Data experience Preferred

Responsibilities

• Automates and manually loads all new and revised participating provider data transactions.
• Manages and resolves third-party contracted reimbursement issues into applicable systems.
• 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.
• 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, 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
• Number of Employees: 5,001-10,000 employees