Medicaid Provider Data Service Senior Coordinator

CVS Health; Town of King (WI); On-site; USD 25,000 - 49,000; Full time

Benefits offered by this job

Medical, dental, and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a dedicated professional to support the Medicaid provider management team. The role emphasizes assignment, reporting, project management, and non-production activities to keep provider data workflows efficient.

The position focuses on coordination for Network Operations-Intake, data assignments, and claim pend work, with leadership on assignments and collaboration with the manager to meet production timelines.

Qualifications

• QNXT experience required.
• 3+ years in Provider Data Services or related systems.
• Advanced Excel skills.
• Ability to coordinate collaboration sessions.
• Take detailed notes for sharing across analysts.
• Basic PowerPoint skills.

Responsibilities

• Support provider management tasks including assignment, reporting, and project management.
• Coordinate intake, triage, and provider data assignments.
• Lead work assignments and monitor department production and turnaround times.
• Collaborate with the manager on priorities and deadlines.

Skills

QNXT experience

Provider Data Services systems

Advanced Excel

Coordinate collaboration sessions

Note taking

PowerPoint

Education

Bachelor's degree or equivalent

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.