Medicaid Provider Data Operations Lead

CVS Health; Hartford (CT); On-site; USD 25,000 - 49,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Job summary

CVS Health is seeking a detail-oriented professional to support the Medicaid provider management team with assignments, reporting, and project coordination. The role emphasizes collaboration across Network Operations-Intake, data assignments, and timely pend processing within a full-time structure.

Required qualifications include 3 years of provider data services experience, QNXT knowledge, advanced Excel skills, and strong PowerPoint capabilities to share findings with analysts and leadership.

Qualifications

• QNXT experience required.
• 3 years of experience and knowledge of Provider Data Services systems and other end user applications.
• Advanced Excel skills.
• Ability to coordinate collaboration sessions.
• Take detailed notes to share with/among analysts.
• General understanding and skills in PowerPoint.

Responsibilities

• Support Medicaid provider management with focus on assignment, reporting, project management, and non-production activities.
• Coordinate and collaborate across work streams for Network Operations-Intake and triage, provider data assignments, and claim pend assignments.
• Lead for work assignments and work closely with manager on department production and turn around times.

Skills

QNXT experience

Provider data services

Advanced Excel

Collaboration sessions

Note taking

PowerPoint

Education

Bachelor's degree or equivalent

Tools

QNXT

PowerPoint

Job description

CVS Health is seeking a detail-oriented professional to support the Medicaid provider management team with assignments, reporting, and project coordination. The role emphasizes collaboration across Network Operations-Intake, data assignments, and timely pend processing within a full-time structure.

Required qualifications include 3 years of provider data services experience, QNXT knowledge, advanced Excel skills, and strong PowerPoint capabilities to share findings with analysts and leadership.