Medicaid Provider Data Lead - Coordination & Reporting

CVS Health; Sioux Falls (SD); On-site; USD 25,000 - 49,000; Full time

Job summary

CVS Health is hiring for a Medicaid Provider Management role in the United States. This full-time position focuses on assignment, reporting, project management, and coordination across Network Operations-Intake and triage, provider data assignments, and claim pend processes.

Required qualifications include QNXT experience, 3+ years in Provider Data Services, and advanced Excel skills, with strong communication. This role offers a comprehensive benefits package and a 40-hour work week.

Qualifications

• Bachelor's degree or 3+ years of relevant experience.

Responsibilities

• Support provider management tasks including assignment, reporting, and project management.
• Coordinate work for Network Operations-Intake and triage, and provider data assignments.
• Lead for work assignments and partner with the manager on department production and turnaround times.
• Handle non-production activities and contribute to accuracy of claims pend processes.

Skills

QNXT Experience

Advanced Excel

PowerPoint

Strong communication skills

Education

Bachelor's degree or equivalent 3+ years of relevant experience

Tools

QNXT System

Microsoft Excel

Job description

CVS Health is hiring for a Medicaid Provider Management role in the United States. This full-time position focuses on assignment, reporting, project management, and coordination across Network Operations-Intake and triage, provider data assignments, and claim pend processes.

Required qualifications include QNXT experience, 3+ years in Provider Data Services, and advanced Excel skills, with strong communication. This role offers a comprehensive benefits package and a 40-hour work week.