Senior Coordinator, Provider Data Services - Work From Home

CVS Health

California City (CA)

Remote

USD 25,000 - 53,000

Full time

8 days ago

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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

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

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. - 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 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.

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.

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