Provider Data Service Specialist

Job not on LinkedIn

🔥 6 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $17 - $28 / hour

⏰ Full Time

🟢 Junior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Maintain and update provider demographic and contract information in appropriate systems to support claims adjudication and provider directories • Perform data transactions and maintenance for projects, expansions, and new product implementations • 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 for provider data issues and audit trends • Collaborate cross-functionally to recommend process improvements • Conduct and manage audits of provider information and escalate issues for resolution

🎯 Requirements

• 1+ years of maintaining information within multiple databases • Demonstrated ability to handle multiple assignments • Demonstrated ability to work in a production environment • Proficiency in Microsoft Office applications • Proficiency 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 • EPDB experience preferred • Associate's degree or equivalent experience

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility