Provider Data Services Specialist

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

📋 Description

• Carry out standard business support activities for the Data Services department under general supervision.

• Assist the Finance team while collaborating with Underwriting and Account Management professionals.

• Input fundamental demographic transactions into the provider directory to aid in claim adjudication processes.

• Conduct data service intake triage and assess details to address customer/member inquiries.

• Execute regular audits of provider information and report issues to management.

• Contribute to Data Services Change Management and Process Optimization initiatives.

• Follow management guidance to implement work area techniques, processes, and responsibilities.

• Respond to requests from auditors for data, questions, and discrepancies.

• Perform additional tasks as assigned.

⛳️ Requirements

• Minimum of 1 year of experience in healthcare and/or data entry.

• Proven proficiency in Microsoft Office applications (Teams, Excel, Word, etc.).

• Must reside in Arizona.

• Prior experience with SQL and QXNT is preferred.

• Intermediate skills in Microsoft Excel, including working with formulas and large data sets.

• Good understanding of problem-solving and decision-making abilities.

• Strong attention to detail.

• Excellent organizational and time management skills.

• Basic communication abilities.

• A keen desire for growth and learning, characterized by a curious and investigative mindset.

• High school diploma or GED is required.

🏝️ Benefits

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

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources that promote physical, emotional, and financial well-being.