At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary
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. Acts in Lead role within the Team.Additional Responsibilities
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-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.
-Will provide technical and/or functional leadership within
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.
Required Qualifications
-Provider Data Services background (2-4 years).
-Knowledge of EPDB, PRMS, Alteryx, QuickBase and Power BI plus.
- Proficient to advanced skills with Microsoft Excel. Must be able to do VLOOKUPS and pivot tables.
Preferred Qualifications
-Please refer to the required qualification section.
Education
-Associate Degree or equivalent work experience. Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:$18.50 - $31.72This 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.Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
- Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.