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
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.
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- Works with other departments to ensure quality provider data to our members and customers.
- May maintain and update 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.
- Identifies, researches and conducts root cause analyses (e.g. problem providers identified by customer service, network, or 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
- Support projects for multiple departments across the organization at once
- Responsible to update and maintain department wide policy and procedures, including ownership of annual attestation processRequired Qualifications
- Demonstrated ability to handle multiple assignments.
- Experienced with EPDB, PRMS and SCM systems (3-5 years).
- Demonstrates ability to facilitate meetings and make accurate records.
- Proficient in Microsoft Office Applications with intermediate skills in Excel.
- Demonstrated success prioritizing work and the ability to multi-task in a fast-paced environment.
- Demonstrated ability to utilize analytical and independent thinking skills.
- Demonstrated success in collaborating with others to meet/exceed expectations.
- Experience providing clear and concise written and verbal communications.
- Previous Provider Data Services or Network Management experience (3-5 years)
- Organizational skills with ability to document and track meeting notes and project plansPreferred Qualifications
- Power BI reporting experience (1-2 years)
- Previous Provider Data Services or Network Management experience (1-3 years)
- See additional Required Qualifications Above.Education
Associate degree or equivalent work experience Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:$46,988.00 - $102,000.00This 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 peopleWe 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.