Credentialing Specialist

CVS Health Credentialing SpecialistWe'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 SummaryReviews analyzes, evaluates, validates provider/producer information against business/credentialing requirements and maintains information on Credentialing databases. Supports extensive research and analysis of sensitive provider/producer issues; addresses data integrity issues.Job DescriptionAssist with reviewing, analyzing, and validating provider/producer information to ensure it meets credentialing and business requirementsMaintain and update provider/producer records in credentialing databases with a high level of accuracySupport research and review of provider/producer information, escalating sensitive or complex issues as neededHelp identify and correct data discrepancies to support overall data integrity and complianceHandle confidential and sensitive information with professionalism, discretion, and careOrganize and prioritize assigned tasks to meet deadlines in a fast-paced environmentDraft and respond to basic professional correspondence, including emails and routine noticesCommunicate effectively with providers, internal staff, and management under guidance and supervisionWork independently on routine tasks while seeking guidance for new or complex issuesUse Microsoft Office applications (Word, Excel, Access) and internet resources to research and maintain informationDemonstrate strong attention to detail and willingness to learn credentialing policies, procedures, and systemsRequired Qualifications1+ years customer service experience.6+ months experience researching and analyzing data.6+ months experience working with Microsoft Office applications (Word, Excel, Access) and internet resources.Able to work Franklin Hybrid work model, 3 days in office.Preferred QualificationsAbility to work independently on routine tasksAbility to work reliably, prudently, and tactfully with confidential information.Ability to organize and prioritize work and manage multiple priorities.Excellent verbal and written communication skills including, letters, memos, and emails.Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.Associate's degree preferredEducationHigh School diplomaAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$17.00 - $28.46This 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 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.