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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Job Responsibility:
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