Provider Data Service Specialist

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Oversee the maintenance and updating of provider demographic and contract information within relevant systems to facilitate claims adjudication and provider directories.

• Execute data transactions and upkeep for projects, expansions, and the implementation of new products.

• Partner with both internal and external stakeholders to establish new networks and intricate contractual agreements.

• Offer technical and/or functional leadership within the unit as necessary.

• Confirm system enhancements are valid and effective.

• Detect, investigate, and perform root cause analyses for issues related to provider data and audit trends.

• Work collaboratively across functions to propose process improvements.

• Conduct and oversee audits of provider information, escalating issues as needed for resolution.

⛳️ Requirements

• A minimum of 1 year of experience in managing information across multiple databases.

• Proven ability to juggle multiple assignments effectively.

• Demonstrated capacity to thrive in a production environment.

• Proficient in Microsoft Office applications.

• Strong skills in Excel.

• Proven track record of prioritizing tasks and multitasking in a fast-paced setting.

• Successful history of collaborating with others to achieve or surpass expectations.

• Experience in delivering clear and concise written and verbal communications.

• Preferred experience with EPDB.

• An Associate's degree or equivalent experience is required.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program in addition to base salary.

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources to support physical, emotional, and financial well-being, subject to eligibility.