[Remote] Provider Data Services Senior Coordinator at CVS Health

Florida City, Florida, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

Provider Data Services background (1-3 years) or Network background (1-3 years)
Demonstrated ability to handle multiple assignments
High school diploma or equivalent

Responsibilities

Automates and manually loads all new and revised participating provider data transactions
Manages and resolves third-party contracted reimbursement issues into applicable systems
Maintains and updates provider demographic and contract information in appropriate systems to support claims adjudication and provider directories
Follows area protocols, standards, and policies to provide effective and timely support
Coordinates with internal/external constituents to implement new networks and complex contractual arrangements
Communicates directly with providers and/or outside vendors to clarify data quality issues
Manages audits of provider information to escalate issues for resolution as appropriate
Takes direction to execute techniques, processes, and responsibilities

Skills

Key technologies and capabilities for this role

Provider Data ManagementExcelClaims AdjudicationProvider DemographicsContract ManagementData AuditingProblem Solving

Questions & Answers

Common questions about this position

What is the pay range for the Provider Data Services Senior Coordinator role?

The typical pay range is $18.50 - $31.72 per hour. The actual base salary will depend on factors like experience, education, geography, and other relevant factors, and the position is eligible for a CVS Health bonus, commission, or short-term incentive program.

Is this a remote position or does it require office work?

This information is not specified in the job description.

What are the required qualifications for this role?

Candidates need 1-3 years of Provider Data Services or Network background, demonstrated ability to handle multiple assignments, and a high school diploma or equivalent.

What is the company culture like at CVS Health?

CVS Health fosters a workplace where every colleague feels valued and belongs, with teams reflecting the customers, patients, members, and communities served, and emphasizes passion for transforming health care.

What makes a strong candidate for this position?

Strong candidates will have 1-3 years in Provider Data Services or Network background, ability to manage multiple assignments, plus preferred experience like 5+ years work, Excel knowledge, and problem-solving skills.

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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