Hiring: Provider Data Services Specialist (Fully Remote/Online)
Job Responsibilities : Hiring: Provider Data Services Specialist (Fully Remote/Online)
Salary : 17.00 – $27.16 hourly
Company : CVS Health
Job Description
– Review and submit requests to update the provider
module within the QNXT system for adds/changes
related to Mercy Care Plan.
– This is a fast paced environment with great team
diversity.
– Based on information from new contracts, expansion
efforts, and routine provider changes, research the
requests for updates to ensure they meet CMS and – Review and submit requests to update the provider
module within the QNXT system for adds/changes
related to Mercy Care Plan.
– This is a fast paced environment with great team
diversity.
– Based on information from new contracts, expansion
efforts, and routine provider changes, research the
requests for updates to ensure they meet CMS and
AHCCCS regulations for member utilization.
– Standard data elements for provider data is used to feed
member directories, claim adjudication, encounter
submissions, and regulatory utilization reports.
Required Qualifications :
– Demonstrated ability to handle multiple assignments
competently, accurately and efficiently.
– Strong analytical and written/oral communication skills.
Required Qualifications :
– Demonstrated ability to handle multiple assignments
competently, accurately and efficiently.
– Strong analytical and written/oral communication skills.
Pay Range
The typical pay range for this role is:
Minimum: 17.00
Maximum: 27.16
Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
– Demonstrated ability to handle multiple assignments
competently, accurately and efficiently.
– Strong analytical and written/oral communication skills.
Preferred Qualifications
– MS SQL Experience – Basic (1-2 Years)
– Excel Experience – Intermediate (1-2 Years)
– QNXT Experience
– Medical Claims Processing
– Medical Billing Knowledge
Education
– Preferred: Some Tertiary Education
Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
