Provider Data Services Senior Coordinator

Job Title

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

Automates and manually loads all new and revised participating provider data transactions. Manages and resolves third-party contracted reimbursement issues into applicable systems.

Brief Overview

Automates and manually loads all new and revised participating provider data transactions. Manages and resolves third-party contracted reimbursement issues into applicable systems.

What You Will Do

• Maintains and updates provider demographic and contract information in appropriate systems to support claims adjudication and provider directories.
• Follows area protocols, standards, and policies to provide effective and timely support.
• Coordinates with internal / external constituents to implement new networks and complex contractual arrangements.
• Communicates directly with providers and / or outside vendors to clarify data quality issues. Manages audits of provider information to escalate issues for resolution as appropriate.
• Takes direction to execute techniques, processes, and responsibilities

Required Qualifications

Preferred Qualifications

Education

Anticipated Weekly Hours 40

Time Type Full time

Pay Range

The typical pay range for this role is :

$18.50 - $31.72

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 our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

Affordable medical plan options , a 401(k) plan (including matching company contributions), and an employee stock purchase plan .

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.