Provider Data Service Specialist
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Job Description
Provider data specialist maintaining demographic and contract records for CVS Health. Supporting claims, directories, network implementations, audits, and data quality improvements.
Responsibilities:
- Provide operational support and perform data maintenance and cleanup for basic-to-complex data transactions
- Perform data transactions and maintenance for projects, expansions, and new product implementations
- Maintain and update provider demographic and contract information in appropriate systems to support claims adjudication and provider directories
- Collaborate with internal and external constituents to implement new networks and complex contractual arrangements
- Provide technical and/or functional leadership within the unit when needed
- Validate system enhancements
- Identify, research, and conduct root cause analyses of provider data issues and trends
- Collaborate cross-functionally to recommend process improvements
- Conduct and manage audits of provider information
- Escalate issues for resolution as appropriate
Requirements:
- 1+ years of maintaining information within multiple databases
- 1–2+ years of provider data service background
- Demonstrated ability to handle multiple assignments
- Demonstrated ability to work in a production environment
- Proficient in Microsoft Office applications
- Advanced skills in Excel
- Demonstrated success prioritizing work and multitasking in a fast-paced environment
- Demonstrated success collaborating with others to meet or exceed expectations
- Experience providing clear and concise written and verbal communications
- Associate's degree or equivalent work experience
- EPDB experience preferred
Benefits:
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being
- CVS Health bonus, commission or short-term incentive program eligibility
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