Provider Data Services Senior Coordinator

CVS Health

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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health.

This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

The Provider Data Services, Senior Coordinator automates and manually loads, maintains, and resolves all new and revised participating provider data transactions (basic to complex) that are contractually sensitive or strategic in nature for Aetna's National Provider business.

This role 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 provider and complex contractual arrangements.
• Directly contacts providers and / or outside vendors to clarify data quality issues.
• Conducts and manages audits of provider information and escalates issues for resolution as appropriate.

Required Qualifications

• Provider Data Services background (1-3 years) or Network background (1-3 years).
• Demonstrated ability to handle multiple assignments.

Preferred Qualifications

• Great communication skills both oral and written.
• Analytical thinker.
• Proficient with MS Suite (Excel, Word)

Education

High school diploma, G.E.D., or equivalent experience.

Pay Range

The typical pay range for this role is :

$18.50 - $37.02

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.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.

The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.

The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.

CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.

As for time off, Company employees enjoy Paid Time Off ('PTO') or vacation pay, as well as paid holidays throughout the calendar year.

Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com / benefits

We anticipate the application window for this opening will close on : 05 / 03 / 2024