Provider Directory Quality Specialist

CVS Health; Guin (AL); On-site; USD 23,000 - 43,000; Full time

Benefits offered by this job

Medical, dental & vision coverage

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Provider Data Services Specialist to conduct outreach to provider offices and validate demographic, network participation, and directory information for Medicaid and DSNP providers. You will document findings in QuickBase and Salesforce and collaborate with Compliance and Medicaid teams.

You will help improve member experience by ensuring accurate provider data and supporting data quality projects, regulatory requirements, and special initiatives.

Qualifications

• 1-2 years experience in healthcare administration.
• Strong Oral communication skills.

Responsibilities

• Conduct outbound provider office outreach to validate directory demographic information and accessibility data.
• Accurately document outreach findings in QuickBase, Salesforce, and other designated systems.
• Support Medicaid and Dual provider directory monitoring and validation activities.
• Participate in special projects and ad hoc outreach initiatives related to provider data quality and directory validation.
• Maintain productivity, quality, and accuracy standards while managing a high volume of provider outreach activities.

Skills

Healthcare administration

Oral communication

Education

High school diploma

Tools

QuickBase

Job description

CVS Health is seeking a Provider Data Services Specialist to conduct outreach to provider offices and validate demographic, network participation, and directory information for Medicaid and DSNP providers. You will document findings in QuickBase and Salesforce and collaborate with Compliance and Medicaid teams.

You will help improve member experience by ensuring accurate provider data and supporting data quality projects, regulatory requirements, and special initiatives.