Provider Data Services Administrator

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

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.

Primary Job Duties & Responsibilities: 

- 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 (3-5 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.

Preferred Qualifications

- At least 3 to 5 years EPDB experience.

- SCM Provider Tab maintenance experience

- Demonstrated ability to utilize analytical and independent thinking skills.

Education

- Associate’s degree or equivalent work experience

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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. 
 

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 people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

Additional details about available benefits are provided during the application process and on Benefits Moments.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.