At CVS Health, we are building a world of health around every individual. As a Senior Analyst, Provider Data Services - Bulk Loading, you will play a key role in maintaining the accuracy of provider data for network and non-network providers, ensuring proper reimbursement and member access.
What You'll Do
- Maintain provider demographic and contractual data for all network and non-network providers.
- Ensure all provider information is accurately recorded and maintained for reimbursement and member directory listings.
- Develop and maintain standards for database integrity, corrective actions, and alignment.
- Provide support for baseline provider data transactions that cannot be administered automatically.
- Perform baseline demographic transaction updates in provider system applications to support claim adjudication and provider directories.
- Perform intake triage and respond to network inquiries, escalating when necessary.
- Provide ongoing department support through research and analysis to resolve concerns raised by providers and internal/external customers.
- Conduct audits of provider information and escalate issues for resolution.
- Automate and manually load, maintain, and resolve all new and revised participating provider data transactions, from basic to complex.
What We're Looking For
- Demonstrated ability to handle multiple assignments.
- 1-3 years of Provider Data Services background.
- 1-3 years of Network background.
- Advanced Microsoft Excel skills, including knowledge of formulas and VLOOKUPs.
- 1+ years of QNXT experience.
- Bachelor's degree or equivalent experience.
Nice to Have
- Strong communication skills.
- Ability to troubleshoot technical and data issues.
- Ability to assist team members.
- Ability to offer process improvement ideas.
Technical Stack
- Microsoft Excel
- QNXT
Benefits & Compensation
- Compensation Range: $46,988.00 - $91,800.00
- Affordable medical plan options.
- 401(k) plan with matching company contributions.
- Employee stock purchase plan.
- No-cost programs including wellness screenings, tobacco cessation, weight management programs, confidential counseling, and financial coaching.
- Paid time off.
- Flexible work schedules.
- Family leave.
- Dependent care resources.
- Colleague assistance programs.
- Tuition assistance.
- Retiree medical access.
Work Mode
This role is open to candidates across the United States.
CVS Health is an equal opportunity employer. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
