[Hiring] Provider Data Services Specialist @CVS Health

Role Description

The Provider Data Services Specialist is responsible for conducting proactive outreach to provider offices to validate provider demographic information, network participation status, and directory information for providers contracted with Medicaid and Dual Special Needs Plans (D-SNP). Outreach results will be documented within QuickBase and/or Salesforce and shared with Provider Data Services, Compliance, and Medicaid business partners for analysis and follow-up.

The Specialist will support provider directory accuracy initiatives by collecting and analyzing validation results to measure directory data quality, which will identify trends and root causes of inaccuracies. Through these efforts, the role contributes to improving the member experience and ensuring accurate provider information is available to members.

In addition, this position will support ad hoc provider outreach initiatives related to Medicaid and Dual provider directory validation, data quality projects, regulatory requirements, and special business initiatives as needed.

Key Responsibilities

• Conduct outbound provider office outreach to validate directory demographic information, provider participation, and accessibility data.
• Accurately document outreach findings in QuickBase, Salesforce, and other designated systems.
• Support Medicaid and Dual provider directory monitoring and validation activities.
• Participate in special projects and ad hoc outreach initiatives related to provider data quality and directory validation.
• Maintain productivity, quality, and accuracy standards while managing a high volume of provider outreach activities.

Qualifications

• 1-2 years experience in healthcare administration
• Strong oral communication skills

Preferred Qualifications

• Previous experience working with provider demographic data
• Previous experience working within QuickBase
• Previous experience in a call center environment

Education

• High school diploma or equivalent required

Anticipated Weekly Hours

• 40

Time Type

• Full time

Pay Range

The typical pay range for this role is: $17.00 - $31.30. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

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.

Application Information

We anticipate the application window for this opening will close on: 11/19/2026. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.