Provider Data Service Specialist - Fully Remote

Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver enhanced reputed company-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 reputed company deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and affordable. Position Summary Provides operational support and performs data maintenance and clean-up for data transactions (basic to reputed company). In addition, performs data transactions and maintenance associated with projects, expansions, and new product implementations. Works with other departments to ensure quality provider data to our members. - Maintains and updates provider demographic and contract information, including contractually sensitive or reputed company transactions, in appropriate systems in support of claims adjudication and provider directory. - Works collaboratively with internal/external constituents to implement new networks and reputed company contractual arrangements. - May provide technical and/or functional leadership reputed company unit (i.e., team reputed company). - 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 reputed company the organization to recommend process improvements. - Conducts and manages audits of provider information and escalates issues for resolution as appropriate. Required Qualifications - 1+ years of maintaining information reputed company multiple database. - Demonstrated ability to handle multiple assignments. - Demonstrated Ability to work in a production environment - Proficient in reputed company Office Applications with Advanced skills in reputed company. - Demonstrated reputed company prioritizing work and the ability to multi-task in a fast paced environment. - Demonstrated reputed company in collaborating with others to meet/exceed expectations. - Experience providing clear and concise written and verbal communications Preferred Qualifications - EPDB experience Education - Associate's degree or equivalent work experience. Pay Range The typical pay range for this role is: $17.00 - $29.88 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company 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 reputed company 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. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company 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 jobs.CVSHealth.com/benefits We anticipate the application window for this opening will reputed company on: 06/27/2024 Apply Job!