Senior Coordinator, Provider Data Services - Work From Home

4062 Aetna Resources, LLC; California; Hybrid; USD 25,000 - 53,000; Full time

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Wellness programs

Job summary

CVS Health is seeking a data operations professional to provide support, maintain provider data, and perform complex transactions for data quality projects and new product implementations. You will work with multiple departments to ensure accurate provider information for claims and directory services while potentially leading a team.

Ideal candidates have 2–4 years in provider data services, strong Excel and MS Office skills, and a talent for prioritizing tasks in a fast-paced environment.

Qualifications

• Provider Data Services background (2-4 years)
• Ability to handle multiple assignments
• Ability to facilitate meetings and take accurate records
• Advanced skills in Microsoft Excel and MS Office
• Strong written and verbal communication and cross-functional collaboration
• Experience supporting data quality and provider data audits

Responsibilities

• Maintains and updates provider demographic and contract information in systems
• Collaborates with internal/external stakeholders to implement networks and complex contracts
• Provides technical/functional leadership within the team
• Performs validation of system enhancements
• Identifies root causes and recommends process improvements
• Conducts audits of provider information and escalates issues for resolution

Skills

Provider Data Services

Multitasking

Meeting facilitation

Excel (Advanced)

Clear communications

Collaboration

Education

Associate degree or equivalent

Tools

Excel

Microsoft Office

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 prioritise 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

Provides operational support and performs data maintenance and clean-up for data transactions (basic to complex). In addition, performs more complex data transactions and maintenance associated with projects, expansions, and new product implementations. Works with other departments to ensure quality provider data to our members. May Acts in Lead role within the Team.

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.
• Will provide technical and/or functional leadership Support 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

• Provider Data Services background (2-4 years)
• Demonstrated ability to handle multiple assignments
• Demonstrated ability to facilitate meetings and make accurate records.
• Proficient in Microsoft Office Applications with Advanced skills 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

• Demonstrated ability to utilize analytical and independent thinking skills
• EPDB experience 2-4 years

Education

• Associate's degree or equivalent work experience

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $18.50 - $38.82 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 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.

• medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources

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: 11/14/2026

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.