Provider Data Services Specialist (Arizona)

Summary

CVS Health is a healthcare company focused on creating a more connected and compassionate health experience. The Provider Data Services Specialist supports routine Data Services and Finance activities by managing provider data, triaging service requests, responding to inquiries, auditing information, and supporting change management and process optimization.

Responsibilities

• 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

Skills

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

Qualifications

Must Haves

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

Nice to Haves

• 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

• Eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
• Medical, dental, and vision coverage, based on eligibility.
• Paid time off, based on eligibility.
• Retirement savings options, based on eligibility.
• Wellness programs, based on eligibility.
• Other resources supporting the physical, emotional, and financial well-being of colleagues and their families, based on eligibility.