Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
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
-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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit Benefits | CVS Health
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.