Provider Data Services Specialist (Must reside in Arizona)

CVS Health Corporation

Job Overview

Location

AZ - Work from home

Job Type

Full-time

Full Job Description

📋 Description

• Compare and contrast the provider system with network data and regulatory sources to ensure accuracy of data feeds to various applications.
• Manage provider records to ensure the provider directory is accurate for members, as well as that records are set up appropriately for claims processing.
• Work in a fast-paced environment with several colleagues serving various functions.
• Review and submit requests to update the provider module (within the QNXT system) for adds/changes related to Mercy Care Plan.
• Research the requests for updates to ensure they meet CMS and AHCCCS regulations for member utilization.
• Utilize standard data elements for provider data to feed member directories, claim adjudication, encounter submissions, and regulatory utilization reports.

🎯 Requirements

• 1-2 years of experience in customer service.
• Must reside in Arizona.

🏖️ Benefits

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs.
• Other resources, based on eligibility.

Skills & Technologies

Onsite

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CVS Health Corporation

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About CVS Health Corporation

CVS Health Corporation is an American healthcare conglomerate headquartered in Woonsocket, Rhode Island. It operates retail pharmacy chains, pharmacy benefit management services, and health insurance through Aetna. The company fills prescriptions, provides walk-in clinics, administers vaccinations, and manages drug plans for insurers and employers. CVS Health also offers specialty pharmacy, infusion, and long-term care services across the United States.

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