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Provider Data Services Administrator at CVS Health - ApplyBlast

Provider Data Services Administrator

CVS Health

3 months ago

3.2 on Glassdoor

California

Onsite

Full Time

Senior

0 applicants

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About this role

This role provides operational support and performs data maintenance and clean-up for provider transactions within CVS Health. Acting as a team lead, the position involves managing audits, validating system enhancements, and collaborating cross-functionally to ensure quality provider data for claims adjudication and directories. The incumbent will also identify process improvements through root cause analysis and implement new network arrangements.

Responsibilities

Maintain and update provider demographic and contract information
Conduct and manage audits of provider information
Perform validation of system enhancements
Identify and conduct root cause analyses for process improvements
Provide technical and functional leadership within the unit

Skills

Qualifications

Associate's degree3-5 years Provider Data Services backgroundEPDB experience

About CVS Health

cvshealth.com

Headquarters

Woonsocket, Rhode Island, United States

Company Size

10001+ employees

Founded

1963

View Profile

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.