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Provider Data Services Senior Coordinator

Provider Data Services Senior Coordinator

North Carolina StaffingRaleigh, NC, US
2 days ago
Job type
  • Full-time
Job description

Provider Data Services, Senior Coordinator

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. The Provider Data Services, Senior Coordinator automates and manually loads, maintains, and resolves all new and revised participating provider data transactions (basic to complex) that are contractually sensitive or strategic in nature for Aetna's National Provider business. This role 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 provider and complex contractual arrangements.
  • Directly contacts providers and / or outside vendors to clarify data quality issues.
  • Conducts and manages audits of provider information and escalates issues for resolution as appropriate.

Required Qualifications :

  • Provider Data Services background (1-3 years) or Network background (1-3 years).
  • Demonstrated ability to handle multiple assignments.
  • Preferred Qualifications :

  • Great communication skills both oral and written.
  • Analytical thinker.
  • Proficient with MS Suite (Excel, Word)
  • Education :

    High school diploma, G.E.D., or equivalent experience.

    Anticipated Weekly Hours : 40

    Time Type : Full time

    Pay Range : The typical pay range for this role is : $18.50 - $38.82

    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 people. We 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.
  • For more information, visit https : / / jobs.cvshealth.com / us / en / benefits

    We anticipate the application window for this opening will close on : 11 / 26 / 2025

    Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

    We are an equal opportunity and affirmative action employer.

    Create a job alert for this search

    Provider Coordinator • Raleigh, NC, US

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