Provider Data Integrity & Analytics Specialist

CVS Health Corporation; South Dakota; Hybrid; USD 23,000 - 47,000; Full time

Benefits offered by this job

Medical insurance

Dental and vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is hiring for a Data Services support role in the United States. The position executes routine business tasks under supervision, supports Finance, and assists with provider data entry to support claim adjudication.

Strong Excel skills and attention to detail are important. Ideal candidates have at least 1 year in healthcare or data entry, be proficient with Microsoft Office, and reside in the United States.

Qualifications

• At least 1 year of healthcare and/or data entry experience.
• Demonstrated proficiency in Microsoft Office applications (Teams, Excel, Word, etc.).

Responsibilities

• Follows established procedures to execute routine business support tasks for the Data Services function, under general supervision.
• Supports the Finance department, interacting with key Underwriting and Account Management specialists for optimal deliverables.
• Enters baseline demographic transactions into the provider directory to support claim adjudication procedures and progress.
• Performs data service intake triage, subsequently reviewing details to effectively respond to customer/member inquiries.
• Conducts regular audits of provider information, escalating any issues or concerns to management for swift resolution.
• Supports Data Services Change Management and Process Optimization strategies, in order to achieve optimal outcomes.
• Takes direction from management to properly understand and execute key work area techniques, processes, and responsibilities.
• Responds to auditor data requests, questions, and discrepancies, in order to ensure collective data integrity and quality of work.
• Performs other duties as assigned.

Skills

Healthcare experience

Data entry

Education

High school diploma or GED

Tools

Microsoft Excel

SQL

QXNT

Job description

CVS Health is hiring for a Data Services support role in the United States. The position executes routine business tasks under supervision, supports Finance, and assists with provider data entry to support claim adjudication.

Strong Excel skills and attention to detail are important. Ideal candidates have at least 1 year in healthcare or data entry, be proficient with Microsoft Office, and reside in the United States.