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Provider Data Services Specialist - Fully Remote - CVS Health - Immediate Hiring for a Dynamic and Growth-Oriented Role

Remote, USA Full-time Posted 2025-11-03

Join the CVS Health Team as a Provider Data Services Specialist - Fully Remote

We're on a mission to revolutionize healthcare, and we need your expertise! CVS Health is seeking a highly skilled and motivated Provider Data Services Specialist to join our team on a fully remote basis. As a key player in our organization, you will have the opportunity to make a real impact on the healthcare industry while enjoying a dynamic and supportive work environment. If you're passionate about delivering exceptional results and have a strong background in provider data services, we encourage you to apply for this exciting opportunity.

About CVS Health

At CVS Health, we're dedicated to bringing our heart to every moment of your health. Our purpose guides our commitment to delivering enhanced human-centric healthcare for a rapidly changing world. We're anchored in our brand, with heart at its center, and 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, empowering 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 healthcare more personal, convenient, and affordable.

Position Summary

As a Provider Data Services Specialist, you will play a critical role in ensuring the accuracy and integrity of our provider data. Your primary responsibilities will include:

  • Identifying, researching, and resolving issues on NPI Data to ensure prompt claim payment and matching logic, including making calls to provider offices.
  • Working with the team and internal counterparts to ensure NPI data is loaded correctly in the system for all provider types.
  • Collaborating with stakeholders to resolve data discrepancies and ensure seamless data exchange.
  • Analyzing data to identify trends and areas for improvement.
  • Developing and implementing process improvements to enhance data quality and efficiency.

Key Responsibilities

As a Provider Data Services Specialist, you will be responsible for:

Data Analysis and Resolution

  • Analyzing and resolving complex data issues related to provider information.
  • Identifying and correcting data discrepancies to ensure accurate claim payment.
  • Collaborating with internal stakeholders to resolve data-related issues.

Data Maintenance and Updates

  • Updating and maintaining provider data in our systems.
  • Ensuring data accuracy and integrity.
  • Performing data audits to identify areas for improvement.

Communication and Collaboration

  • Communicating effectively with internal stakeholders, including claims processing teams and provider offices.
  • Collaborating with team members to resolve data-related issues.
  • Providing exceptional customer service to internal and external stakeholders.

Requirements and Qualifications

Essential Qualifications

  • 1-2 years of experience in provider data maintenance or a related field.
  • Excellent communication skills (written and oral).
  • Analytical skills with attention to detail.
  • Proficiency in Microsoft Office applications, including Excel.
  • High school diploma or equivalent required.

Preferred Qualifications

  • Previous experience in a production environment.
  • Experience with data analysis and reporting tools.
  • Knowledge of healthcare industry trends and regulations.

Skills and Competencies

To succeed in this role, you will need:

  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal skills.
  • Ability to work in a fast-paced environment with multiple priorities.
  • Strong attention to detail and organizational skills.
  • Ability to collaborate with internal stakeholders and external partners.

Career Growth Opportunities and Learning Benefits

At CVS Health, we're committed to helping our employees grow and develop their skills. As a Provider Data Services Specialist, you will have access to:

  • Training and development programs to enhance your skills and knowledge.
  • Opportunities for career advancement and professional growth.
  • A dynamic and supportive work environment that encourages innovation and creativity.

Work Environment and Company Culture

As a fully remote employee, you will have the flexibility to work from home and enjoy a better work-life balance. Our company culture is built on:

  • A commitment to diversity, equity, and inclusion.
  • A focus on employee well-being and engagement.
  • A culture of innovation and creativity.

Compensation, Perks, and Benefits

We offer a comprehensive compensation package, including:

  • A competitive salary range of $17.00 - $31.30 per hour.
  • A full range of medical, dental, and vision benefits.
  • Eligibility for a CVS Health bonus, commission, or short-term incentive program.
  • A 401(k) retirement savings plan and Employee Stock Purchase Plan.
  • Fully-paid term life insurance and short-term and long-term disability benefits.
  • Paid Time Off (PTO) and paid holidays throughout the calendar year.

How to Apply

If you're a motivated individual ready to contribute to a thriving team, we encourage you to apply now! Please visit our website to submit your application.

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Don't miss this opportunity to join our team and make a real impact on the healthcare industry. Apply today!

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