Keep provider data clean, accurate, and contract-ready so claims adjudication and provider directories don’t get messy. If you’ve got strong provider data experience, love Excel, and can lead process improvements without dropping the ball, this role is a solid fit.
About CVS Health
CVS Health is reimagining healthcare to make it more connected, convenient, and compassionate. Their operations teams ensure accurate provider data so members can access care and claims can process correctly.
Schedule
- Full-time (40 hours/week)
- Remote
- Application window closes: 02/21/2026
What You’ll Do
- Maintain and update provider demographic and contract information, including sensitive and complex transactions, to support claims adjudication and provider directory accuracy
- Partner with internal and external stakeholders to implement new networks and complex contractual arrangements
- Serve as a team lead by providing technical and/or functional guidance within the unit
- Validate system enhancements and support testing/quality checks
- Identify issues, research root causes, and collaborate cross-functionally to recommend process improvements
- Conduct and manage audits of provider information and escalate issues for resolution when needed
- Track and clean up provider data transactions ranging from basic to complex, including support for projects, expansions, and new product implementations
What You Need
- 3–5 years of Provider Data Services experience
- Ability to handle multiple assignments and prioritize in a fast-paced environment
- Experience facilitating meetings and keeping accurate records
- Proficiency in Microsoft Office with advanced Excel skills
- Strong written and verbal communication skills
- Proven ability to collaborate with others to meet or exceed expectations
- Associate’s degree or equivalent work experience
Benefits
- Pay range: $18.50–$42.35/hour (based on experience, education, geography, and other factors)
- Eligible for bonus/commission/short-term incentive programs (role-dependent)
- Medical plan options
- 401(k) with matching contributions and employee stock purchase plan
- No-cost wellness programs, counseling, and financial coaching
- Paid time off and flexible work schedules (eligibility-based)
- Family leave, dependent care resources, and tuition assistance (eligibility-based)
- Retiree medical access and additional benefits depending on eligibility
If you’ve got the provider data background, don’t wait. These roles move fast when teams need clean directories and clean claims.
Go be the person who fixes what everyone else keeps breaking.
Happy Hunting,
~Two Chicks…