Medicaid Provider Data Operations Lead

CVS Health; Nebraska; On-site; USD 25,000 - 49,000; Full time

Job summary

CVS Health is seeking a full-time team member to support the Medicaid provider management function. The role focuses on assignment, reporting, project management, and non-production activities, collaborating across Network Operations-Intake and related teams to ensure timely provider data handling and claims pend management.

Ideal candidates have QNXT experience, strong Excel and PowerPoint skills, and the ability to coordinate complex sessions and document discussions for analysts and

Qualifications

• Bachelor’s degree or equivalent plus 3+ years of relevant experience.
• QNXT experience is required and knowledge of provider data services systems.
• Advanced Excel skills are required.
• Strong ability to coordinate collaboration sessions and take detailed notes.

Responsibilities

• Support Medicaid provider management team with assignment, reporting, project management, and non-production activities.
• Coordinate work across Network Operations-Intake and triage, provider data assignments, and claim pend assignments.
• Lead for work assignments and partner with manager on department production and turnaround times.

Skills

QNXT experience

Advanced Excel

PowerPoint

Note-taking

Collaboration

Education

Bachelor's degree or equivalent

Tools

Provider Data Services systems

Job description

CVS Health is seeking a full-time team member to support the Medicaid provider management function. The role focuses on assignment, reporting, project management, and non-production activities, collaborating across Network Operations-Intake and related teams to ensure timely provider data handling and claims pend management.

Ideal candidates have QNXT experience, strong Excel and PowerPoint skills, and the ability to coordinate complex sessions and document discussions for analysts and