Provider Data Quality & Audits Specialist

CVS Health; Pennsylvania; Hybrid; USD 23,000 - 39,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings options

Wellness programs

Other resources

Job summary

CVS Health is seeking a data maintenance professional to support data transactions and maintenance for projects, expansions, and new product implementations. You will ensure quality provider data for members by updating provider demographic and contract information and collaborating across departments.

The role requires strong Excel and MS Office skills, the ability to manage multiple tasks in a production environment, and clear written and verbal communication to drive process improvements.

Qualifications

• 1+ years of maintaining information within multiple databases.
• Demonstrated ability to handle multiple assignments.
• Demonstrated ability to work in a production environment.
• Proficient in Microsoft Office Applications.
• Proficient in Excel.
• Demonstrated success prioritizing work and the ability to multi-task in a fast paced environment.
• Demonstrated success in collaborating with others to meet/exceed expectations.
• Experience providing clear and concise written and verbal communications.
• EPDB experience (preferred).

Responsibilities

• Maintains and updates provider demographic and contract information, including contractually sensitive or complex transactions, in appropriate systems in support of claims adjudication and provider directory.
• Works collaboratively with internal/external constituents to implement new networks and complex contractual arrangements.
• May provide technical and/or functional leadership within unit (i.e., team lead).
• Performs validation of system enhancements.
• Identifies, researches and conducts root cause analyses and collaborates cross-functionally within the organization to recommend process improvements.
• Conducts and manages audits of provider information and escalates issues for resolution as appropriate.

Skills

Excel

MS Office

Data maintenance

Multi-tasking

Communication

Collaboration

Production environment

Database management

Education

Associate degree

Job description

CVS Health is seeking a data maintenance professional to support data transactions and maintenance for projects, expansions, and new product implementations. You will ensure quality provider data for members by updating provider demographic and contract information and collaborating across departments.

The role requires strong Excel and MS Office skills, the ability to manage multiple tasks in a production environment, and clear written and verbal communication to drive process improvements.