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Company Name : CVS Health
Location : Pennsylvania
Position : Provider Data Services Admin (Fully Remote)
Job Description : 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. Works with other departments to ensure quality provider data to our members. Acts in Lead role within the Team.
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 networks and complex contractual
arrangements.
Will provide technical and/or functional leadership within
unit (i.e., team lead).
Performs validation of system enhancements.Identifies, researches and conducts root cause analyses
(e.g. problem providers identified by PST, 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.
Required Qualifications
Demonstrated ability to handle multiple assignments.Provider Data Services background (3-5 years).Demonstrates Ability to facilitate meetings and make
accurate records.
Proficient in Microsoft Office Applications with Advanced 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.
COVID Requirements
CVS Health requires its Colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.
If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 10 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. In some states and roles, you may be required to provide proof of full vaccination before you can begin to actively work. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
If you are unable to be fully vaccinated due to disability, medical condition, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. In some states and roles, you may be required to have an approved reasonable accommodation before you can begin to actively work. If your request for an accommodation is not approved, then your employment may be terminated.
Preferred Qualifications
See Required Qualifications above.
Education
Associate’s degree or equivalent work experience.
Business Overview
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.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day.
CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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