Provider Data Services Specialist (Arizona)

4004 Aetna Medicaid Administrators; Arizona; Hybrid; USD 23,000 - 47,000; Full time

Benefits offered by this job

medical coverage

dental coverage

vision coverage

paid time off

retirement savings options

wellness programs

other resources, based on eligibility

Job summary

CVS Health is seeking a detail-oriented Data Services support associate to execute routine tasks and assist with provider data handling. You will enter demographic transactions to aid claim adjudication, triage data-service requests, and respond to member inquiries under supervision.

The role requires accuracy, good communication, and familiarity with Microsoft Office; Arizona residency is preferred. 40 hours weekly, full-time benefits apply.

Qualifications

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

Responsibilities

• Execute routine business support tasks for the Data Services function.
• Enter baseline demographic transactions into the provider directory to support claim adjudication.
• Perform data service intake triage and respond to member inquiries.
• Audit provider information and escalate issues to management.
• Support Change Management and Process Optimization initiatives.

Skills

Healthcare/data entry

MS Office

Education

High school diploma or GED

Tools

SQL

QXNT

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.

Position Summary

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.

Required Qualifications

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

Preferred Qualifications

• Resides in Arizona.
• Previous experience with SQL and QXNT.
• Intermediate proficiency in Microsoft Excel, working with formulas and large data sets.
• Working knowledge of problem solving and decision-making skills.
• Strong attention to detail.
• Excellent organization and time management skills.
• Basic communication skills.
• Strong desire to grow and learn, with a curious and investigative nature.

Education

High school diploma or GED.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $17.00 - $34.15. 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.

• medical coverage
• dental coverage
• vision coverage
• paid time off
• retirement savings options
• wellness programs
• 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: 10/15/2026.

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

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.