Provider Data Service Specialist - Fully Remote

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

Position Summary

Provides operational support and performs data maintenance and clean‑up for data transactions (basic to complex). In addition, performs data transactions and maintenance associated with projects, expansions, and new product implementations. Works with other departments to ensure quality provider data to our members.

• 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 (e.g. problem providers identified by PST, trends from routine PDS audits) 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.

Required Qualifications

• 1+ years of maintaining information within multiple database.


• 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

Preferred Qualifications

• EPDB experience

Education

Associate's degree or equivalent experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $17.00 - $28.46. 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.

Benefits

• medical coverage


• dental coverage


• vision coverage


• paid time off


• retirement savings options


• wellness programs


• other resources

Application Deadline

We anticipate the application window for this opening will close on: 11/24/2026

Equal Opportunity

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.