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Provider Data Services Specialist at CVS Health - ApplyBlast

Provider Data Services Specialist

CVS Health

4 months ago

3.2 on Glassdoor

Remote

Full Time

Junior

0 applicants

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About this role

A Data Specialist at Aetna Better Health of Texas maintains provider demographic and contractual data to ensure accurate reimbursement and member access. The role involves managing database integrity, performing system updates, conducting audits, and supporting baseline provider data transactions to facilitate claim adjudication and directory listings.

Responsibilities

Maintain provider demographic and contractual data accuracy
Develop and enforce database integrity standards
Perform baseline demographic transaction updates in provider systems
Conduct audits of provider information and escalate issues
Support research and analysis for resolving provider concerns

Skills

Qualifications

High School Diploma or equivalent6 months of healthcare 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.