Medicaid Provider Data Lead (Coordination & Reporting)

CVS Health; Philadelphia (Philadelphia County); On-site; USD 26,000 - 48,000; Full time

Benefits offered by this job

Bonus program

Comprehensive benefits

Paid time off

Job summary

CVS Health is seeking a candidate for a Medicaid provider data management role. The position supports the Network Operations-Intake, triage, and data assignments, coordinating across teams to ensure timely processing and accurate reporting.

It emphasizes collaboration with the manager to meet department production targets. Requires QNXT experience, 3+ years in provider data services, and advanced Excel skills.

Qualifications

• QNXT experience required.
• 3 years of experience and knowledge of Provider Data Services systems and other end user applications.
• Advanced Excel skills.

Responsibilities

• Coordinate and lead work for Network Operations-Intake and triage.
• Manage provider data assignments and claim pend assignments.
• Lead for work assignments and collaborate with manager on department production and turnaround times.

Skills

QNXT Experience

Provider Data Services

Collaboration coordination

Detailed note taking

PowerPoint

Education

Bachelor's degree or equivalent

Tools

Excel

PowerPoint

Job description

CVS Health is seeking a candidate for a Medicaid provider data management role. The position supports the Network Operations-Intake, triage, and data assignments, coordinating across teams to ensure timely processing and accurate reporting.

It emphasizes collaboration with the manager to meet department production targets. Requires QNXT experience, 3+ years in provider data services, and advanced Excel skills.