
Provider Data Service Specialist
Posted 1 day ago

Posted 1 day ago
This is a fully remote position, open to applicants in United States.
β’ Offer operational support and execute data maintenance and cleanup for various data transactions, ranging from basic to complex.
β’ Carry out data transactions and maintenance for projects, expansions, and the implementation of new products.
β’ Update and maintain provider demographic and contract details in relevant systems to facilitate claims adjudication and provider directories.
β’ Collaborate with both internal and external stakeholders to establish new networks and intricate contractual arrangements.
β’ Provide technical and/or functional leadership within the unit when necessary.
β’ Validate enhancements to the system.
β’ Identify, investigate, and perform root cause analyses on provider data issues and trends.
β’ Work cross-functionally to propose process improvements.
β’ Conduct and oversee audits of provider information.
β’ Escalate issues for resolution when appropriate.
β’ A minimum of 1 year of experience in maintaining information across multiple databases.
β’ 1 to 2 years of experience in a provider data service role.
β’ Proven ability to manage multiple assignments concurrently.
β’ Proven capability to work effectively in a production environment.
β’ Proficient in Microsoft Office applications.
β’ Advanced proficiency in Excel.
β’ Proven track record of prioritizing work and multitasking in a dynamic environment.
β’ Proven success in collaborating with others to meet or exceed expectations.
β’ Experience in providing clear and concise written and verbal communications.
β’ Associate's degree or equivalent work experience is required.
β’ Experience with EPDB is preferred.
β’ Medical coverage.
β’ Dental coverage.
β’ Vision coverage.
β’ Paid time off.
β’ Retirement savings options.
β’ Wellness programs.
β’ Additional resources supporting physical, emotional, and financial well-being.
β’ Eligibility for CVS Health bonus, commission, or short-term incentive programs.
Behavioral Health Works, Inc.
Sodexo
Sodexo
EVERSANA
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