CVS Health
CVS Health
CVS Health is an American healthcare company working across healthcare services, health insurance, pharmacy benefits management, and retail pharmacy. Through businesses including Aetna and CVS Caremark, it supports health coverage, prescription access, condition management, specialty medications, and mail-order pharmacy services. Its neighborhood pharmacies and broader care offerings are designed to help people access essential healthcare more conveniently and affordably. CVS Health brings together insurance, pharmacy, and health services to support individuals and communities throughout their care journeys.

Provider Data Services Specialist (Arizona Remote)

CVS Health is seeking a Provider Data Services Specialist to maintain provider records and support claims adjudication. This Arizona-based remote role includes healthcare data auditing and responding to member inquiries.

Description

  • Handle routine Data Services support activities with general supervision
  • Assist Finance while coordinating with Underwriting and Account Management specialists
  • Enter foundational provider demographic updates into the directory to support claims adjudication
  • Triage incoming data service requests and review information to address customer and member questions
  • Audit provider records regularly and escalate identified issues to management
  • Contribute to Data Services change management and process optimization initiatives
  • Apply management guidance to perform assigned processes, techniques, and responsibilities
  • Address auditor requests, questions, and reported data discrepancies
  • Complete other assigned responsibilities

Requirements

  • At least one year of healthcare or data entry experience
  • Proficiency with Microsoft Office tools, including Teams, Excel, and Word
  • Current residence in Arizona
  • Prior experience using SQL and QXNT
  • Intermediate Excel skills, including formulas and large datasets
  • Working knowledge of problem-solving and decision-making practices
  • Consistent attention to detail
  • Strong organizational and time-management abilities
  • Basic communication skills
  • A strong interest in learning and growth, with a curious and investigative approach
  • High school diploma or GED

Benefits

  • Eligibility for a CVS Health bonus, commission, or short-term incentive program in addition to base pay
  • Medical coverage
  • Dental coverage
  • Vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Additional resources supporting physical, emotional, and financial well-being

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