Welcome to CVS Health
At CVS Health, we are dedicated to bringing our heart to every moment of your health. As a leading healthcare company, we strive to make a positive impact on the lives of our patients, customers, and communities. Our mission is to help people on their path to better health, and we are committed to providing innovative solutions and exceptional care. We are now seeking an experienced and skilled Provider Data Services Senior Coordinator to join our team and play a vital role in maintaining the integrity of our provider data.
About the Position
This is a fully remote role, offering you the flexibility to work from anywhere and providing a unique opportunity to join a collaborative team of professionals who are passionate about delivering high-quality results. As a Provider Data Services Senior Coordinator, you will be responsible for ensuring the accuracy and integrity of our provider data, which includes demographic and contractual information necessary for roster review configuration and loading. Your attention to detail and analytical skills will be essential in driving success in this role, and you will have the opportunity to make a significant impact on our organization.
Key Responsibilities
- Maintain the Provider Data (demographic and contractual) for roster review configuration and loading, ensuring that all information is accurate and up-to-date.
- Develop and maintain standards for database integrity, implementing corrective actions and managing communication processes with other departments regarding database improvements.
- Provide support for baseline provider data transactions that cannot be administered automatically due to system limitations or data integrity issues, performing demographic transaction updates in provider system applications to support claim adjudication and the Provider directory.
- Perform intake triage, respond to network inquiries, and escalate issues when necessary, providing ongoing department support in research and analysis to resolve concerns raised by providers and other internal or external customers.
- Conduct audits of provider information, escalating issues for resolution as appropriate, and automate and manually load, maintain, and resolve all new and revised participating provider data transactions.
- Load third-party contracted reimbursement into applicable systems as needed and extract information from provider systems to meet business reporting needs.
Requirements
To be successful in this role, you will need to have:
- 3+ years of experience and knowledge of Provider Data Services systems and other end-user applications.
- 1-3 years of network background, with a strong understanding of provider data and its importance in the healthcare industry.
- Advanced Microsoft Excel skills, including knowledge of formulas and VLOOKUPs, with the ability to analyze and interpret complex data sets.
- 1+ years of QNXT experience, with a strong understanding of database management and integrity.
- SQL experience, with the ability to write and execute queries to extract and analyze data.
Nice-to-Haves
While not required, the following skills and qualifications are highly desirable:
- QuickBase experience, with the ability to design and implement custom applications to meet business needs.
- Strong communication skills, with the ability to effectively communicate with providers, internal stakeholders, and external customers.
- Strong critical thinking skills, with the ability to analyze complex problems and develop creative solutions.
Benefits and Perks
At CVS Health, we offer a comprehensive benefits package to our employees, including:
- Full range of medical, dental, and vision benefits, with flexible options to meet your individual needs.
- 401(k) retirement savings plan, with a company match to help you plan for your future.
- Employee Stock Purchase Plan, with the opportunity to purchase company stock at a discounted rate.
- Fully-paid term life insurance plan, with additional options for supplemental life insurance.
- Short-term and long-term disability benefits, with income protection in the event of illness or injury.
- Numerous well-being programs, with resources and support to help you maintain a healthy work-life balance.
- Education assistance, with opportunities for professional development and continuing education.
- Free development courses, with access to online training and development programs to help you build new skills.
- CVS store discount, with exclusive discounts on store purchases and services.
- Discount programs with participating partners, with savings on products and services from leading brands.
- Paid Time Off (PTO) or vacation pay, with generous paid time off to relax and recharge.
- Paid holidays throughout the calendar year, with time off to observe major holidays and spend time with loved ones.
Career Growth and Development
At CVS Health, we are committed to helping our employees grow and develop in their careers. As a Provider Data Services Senior Coordinator, you will have access to a range of training and development programs, including:
- On-the-job training, with opportunities to learn from experienced colleagues and develop new skills.
- Online courses and webinars, with access to a range of topics and subjects to help you build your knowledge and expertise.
- Leadership development programs, with opportunities to develop your leadership skills and advance in your career.
- Cross-functional training, with opportunities to work with different teams and develop a broader understanding of our business.
Work Environment and Company Culture
At CVS Health, we are proud of our company culture and work environment. We are a collaborative and inclusive organization, with a strong focus on teamwork and communication. Our employees are passionate about delivering high-quality results and making a positive impact on the lives of our patients and customers. As a Provider Data Services Senior Coordinator, you will be part of a dynamic and supportive team, with opportunities to build strong relationships and develop your career.
Conclusion
If you are a detail-oriented and analytical professional with a passion for delivering high-quality results, we encourage you to apply for this exciting opportunity. As a Provider Data Services Senior Coordinator at CVS Health, you will have the chance to make a significant impact on our organization and develop your career in a dynamic and supportive environment. Don't miss out on this opportunity to join our team and take the next step in your career – apply now and let's discuss how you can become a vital part of our success story.
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