[Hiring] Provider Data Services Specialist @CVS Health

Role Description

Follows established procedures to execute routine business support tasks for the Data Services function, under general supervision.

• Supports the Finance department, interacting with key Underwriting and Account Management specialists for optimal deliverables.
• Enters baseline demographic transactions into the provider directory to support claim adjudication procedures and progress.
• Performs data service intake triage, subsequently reviewing details to effectively respond to customer/member inquiries.
• Conducts regular audits of provider information, escalating any issues or concerns to management for swift resolution.
• Supports Data Services Change Management and Process Optimization strategies, in order to achieve optimal outcomes.
• Takes direction from management to properly understand and execute key work area techniques, processes, and responsibilities.
• Responds to auditor data requests, questions, and discrepancies, in order to ensure collective data integrity and quality of work.
• Performs other duties as assigned.

Qualifications

• At least 1 year of healthcare and/or data entry experience.
• Demonstrated proficiency in Microsoft Office applications (Teams, Excel, Word, etc.).

Requirements

• Resides in Arizona.
• Previous experience with SQL and QXNT.
• Intermediate proficiency in Microsoft Excel, working with formulas and large data sets.
• Working knowledge of problem solving and decision-making skills.
• Strong attention to detail.
• Excellent organization and time management skills.
• Basic communication skills.
• Strong desire to grow and learn, with a curious and investigative nature.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.