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Provider Data Service Specialist

Provider Data Service Specialist

CompanyCVS Health
LocationKansas, USA, Pennsylvania, USA, North Dakota, USA, Iowa, USA, Texas, USA, Florida, USA, South Carolina, USA, South Dakota, USA, Georgia, USA, Tennessee, USA, Minnesota, USA, Wisconsin, USA, North Carolina, USA, Ohio, USA, Indiana, USA, Louisiana, USA, Michigan, USA, Illinois, USA, Alabama, USA
Salary$17 – $31.3
TypeFull-Time
Degrees
Experience LevelEntry Level/New Grad, Junior

Requirements

  • 1+ years of maintaining information within multiple databases.
  • Demonstrated ability to handle multiple assignments.
  • Demonstrated ability to work in a production environment.
  • Proficient in Microsoft Office Applications.
  • Proficient 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.

Responsibilities

  • Provides operational support and performs data maintenance and clean-up for data transactions (basic to complex).
  • 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.
  • May 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.

Preferred Qualifications

  • EPDB experience.