Job Responsibilities : Provider Data Services Analyst
Salary : $48000 per year
Company : CVS Health
Location : Remote US
Provides operational support and performs data maintenance and clean-up for data transactions (basic to complex). In addition, performs data transactions and maintenance associated with projects, expansions, and new product implementations. Works with other departments to ensure quality provider data to our members.
Required Qualifications
- Demonstrated ability to handle multiple assignments.
- Demonstrates Ability to facility meetings and make accurate records.
- 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.
- Performs validation of system enhancements.
- Identifies, researches and conducts root cause analyses (e.g. problem providers identified by provider services team, trends from routine 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.
Preferred Qualifications
Demonstrated ability to handle multiple assignments.
Demonstrates Ability to facility meetings and make accurate records.
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.
Education
Associate’s degree or equivalent work experience.
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