[Hiring] Senior Coordinator, Provider Data Services @CVS Health

Role Description

Provides operational support and performs data maintenance and clean-up for data transactions (basic to complex). In addition, performs more complex data transactions and maintenance associated with projects, expansions, and new product implementations. Works with other departments to ensure quality provider data to our members. May act in a lead role within the team.

• Maintains and updates provider demographic and contract information, including contractually sensitive or complex transactions, in appropriate systems in support of claims adjudication and provider directory.
• Works collaboratively with internal/external constituents to implement new networks and complex contractual arrangements.
• Provides technical and/or functional leadership support within the unit (i.e., team lead).
• Performs validation of system enhancements.
• Identifies, researches, and conducts root cause analyses (e.g., problem providers identified by PST, trends from routine PDS audits) and collaborates cross-functionally within the organization to recommend process improvements.
• Conducts and manages audits of provider information and escalates issues for resolution as appropriate.

Qualifications

• Provider Data Services background (2-4 years)
• Demonstrated ability to handle multiple assignments
• Demonstrated ability to facilitate meetings and make accurate records
• Proficient in Microsoft Office Applications with advanced skills in Excel
• Demonstrated success prioritizing work and the ability to multi-task in a fast-paced environment
• Demonstrated success in collaborating with others to meet/exceed expectations
• Experience providing clear and concise written and verbal communications

Requirements

• Demonstrated ability to utilize analytical and independent thinking skills
• EPDB experience (2-4 years)
• Associate's degree or equivalent work experience

Benefits

• Medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility