Medicaid Provider Data Service Senior Coordinator

CVS Health; Clayton (MO); On-site; USD 25,000 - 49,000; Full time

Benefits offered by this job

Bonus program

Comprehensive benefits package

Paid time off

Job summary

CVS Health is seeking a Provider Data Coordinator to support the Medicaid provider management team. You will focus on assignment, reporting, project management, and non-production activities, coordinating intake and triage work and provider data tasks.

You'll lead work assignments, collaborate with the manager to meet production targets and turnaround times, and leverage QNXT and advanced Excel skills to deliver accurate analyses.

Qualifications

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

Responsibilities

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

Skills

Advanced Excel

PowerPoint

Coordination

Note-taking

Collaboration sessions

Provider Data Services systems

Education

Bachelor's degree or equivalent

Tools

QNXT

Job description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. At Aetna Better Health of Texas, we are committed to helping people on their path to better health. By taking a total and connected approach to health, we guide and support our members so they can get more out of life, every day. We are looking for people like you who value excellence, integrity, caring and innovation. As an employee, you’ll join a team dedicated to improving the lives of Texas members. We value diversity and are dedicated to helping you achieve your career goals.

Position Summary

This position will support the several parts of the Medicaid provider management team with focus on assignment, reporting, project management, and non production activities.

This role will focus on coordination and collaboration amongst of work for Network Operations-Intake and triage, provider data assignments, claim pend assignments.

Will be lead for work assignments and work closely with manager on department production and turn around times.

Required 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 complete to coordinate collaboration sessions.
• ~ Take detailed notes to shared with in across analyst.
• ~ General understanding and skills in PowerPoint.

Preferred Qualifications

• Provides technical and/or functional leadership within unit (i.e., team lead).
• Extract information from provider systems to meet business reporting needs.
• Strong communication skills.

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

Anticipated Weekly Hours

40 Time Type

Full time Pay Range

The typical pay range for this role is:

$18.50 - $35.29 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments .

We anticipate the application window for this opening will close on: 10/28/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.