Provider Data Services Specialist

Position Summary Work from home in TX or hybrid Responsibilities Maintains the Provider Data (demographic and contractual) for all network and non-network providers. Ensures all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (i.e., directory listings). Develops and maintains standards for database integrity, corrective actions, database alignment, and manages communication processes with other departments regarding database improvements. Provides support for baseline provider data transactions that cannot be administered automatically through the provider database due to system limitations and/or data integrity issues. Performs baseline demographic transaction updates in provider system applications in support of claim adjudication and Provider directory. Performs intake triage and responds to network inquiries, escalates when necessary. Provides on‑going department support in research and analysis essential to resolving concerns/issues raised by providers and other internal/external customers. Sends requests to individual providers and/or delegated groups to verify information on file and follows up as needed to ensure information is received. Conducts audits of provider information and escalates issues for resolution as appropriate. Required Qualifications Demonstrated PC skills, including Microsoft Office products and internet navigation skills. 6 months of healthcare experience. Preferred Qualifications Communication skills Ability to conduct research activities Education High School Anticipated Weekly Hours 40 Time Type Full time Pay Range $17.00 - $28.46 per hour. This pay range represents the base hourly rate 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. Great Benefits For Great People 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. EEO Statement Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr Truentity Health