CVS Health
10,000+ employees
Founded 1963
⚕️ Healthcare Insurance
🛒 Retail
🧘 Wellness
Healthcare Insurance • Retail • Wellness
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.
Provider Data Services Specialist
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🔥 0 minutes ago
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CVS Health
10,000+ employees
Founded 1963
⚕️ Healthcare Insurance
🛒 Retail
🧘 Wellness
Healthcare Insurance • Retail • Wellness
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
• Compare and contrast the provider system with network data and regulatory sources • Manage provider records for accuracy in the provider directory • Review and submit requests to update the provider module for adds/changes • Research updates to ensure compliance with CMS and AHCCCS regulations • Utilize standard data elements for provider data to feed member directories and regulatory reports
🎯 Requirements
• 1-2 years of experience in customer service • Must reside in Arizona • Strong analytical and written/oral communication skills • 1-2 years of experience with SQL • 1-2 years of experience in Microsoft Excel • Previous experience working with QNXT • Previous experience with medical claims processing • Previous knowledge of medical billing
🏖️ Benefits
• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility
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