Provider Data Services Lead - Data Quality & Ops

CVS Health; California City (CA); Remote; USD 25,000 - 53,000; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

CVS Health is seeking an operational data professional to support data maintenance and clean‑up for transactions, with opportunities to tackle complex projects and new product implementations. The role collaborates across departments to ensure provider data quality for claims adjudication and directory accuracy.

The position may involve leading team activities, performing audits, root‑cause analyses, and driving process improvements while delivering reliable data for partners and members in a

Qualifications

• 2-4 years Provider Data Services experience.
• Ability to manage multiple assignments.
• Strong written and verbal communications.
• Experience facilitating meetings and accurate records.

Responsibilities

• Provides operational support and performs data maintenance and clean‑up for data transactions (basic to complex).
• Performs more complex data transactions and maintenance for projects, expansions, and new product implementations.
• Maintains and updates provider demographic and contract information in systems supporting claims adjudication and provider directory.
• Collaborates cross‑functionally to implement new networks and complex contractual arrangements.
• Provides technical and/or functional leadership within the unit and conducts validations of system enhancements.
• Identifies root cause analyses and drives process improvements.

Skills

Multiple tasks handling

Meeting facilitation

Written and verbal communication

Cross-functional collaboration

Stakeholder management

Education

Associate's degree or equivalent

Tools

Excel

Microsoft Office

Job description

CVS Health is seeking an operational data professional to support data maintenance and clean‑up for transactions, with opportunities to tackle complex projects and new product implementations. The role collaborates across departments to ensure provider data quality for claims adjudication and directory accuracy.

The position may involve leading team activities, performing audits, root‑cause analyses, and driving process improvements while delivering reliable data for partners and members in a