Senior Analyst, Provider Data Services- Bulk loading jobs in United States
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CVS Health · 19 hours ago

Senior Analyst, Provider Data Services- Bulk loading

CVS Health is committed to building a more connected and compassionate health experience for individuals. The Senior Analyst, Provider Data Services role involves maintaining provider data, ensuring accuracy for reimbursement and member access, and supporting database integrity and communication processes. The position also includes conducting audits, responding to inquiries, and automating data transactions.

Health CareMedicalPharmaceuticalRetailSales
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H1B Sponsor Likelynote

Responsibilities

Maintains the Provider Data (demographic and contractual) for all network and non-network providers
Ensures all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (i.e., directory listings)
Develops and maintains standards for database integrity, corrective actions, database alignment, and manages communication processes with other departments regarding database improvements
Provides support for baseline provider data transactions that cannot be administered automatically through the provider database due to system limitations and/or data integrity issues
Performs baseline demographic transaction updates in provider system applications in support of claim adjudication and Provider directory
Performs intake triage and responds to network inquiries, escalates when necessary
Provides on-going department support in research and analysis essential to resolving concerns/issues raised by providers and other internal/external customers
Conducts audits of provider information and escalates issues for resolution as appropriate
Automates and manually loads, maintains, and resolves all new and revised participating provider data transactions (basic to complex)

Qualification

Provider Data ServicesNetwork backgroundAdvanced Microsoft ExcelQNXT experienceTroubleshooting skillsTeam supportProcess improvement ideasCommunication skills

Required

Demonstrated ability to handle multiple assignments
1-3 years' of Provider Data Services background
1-3 years' Network background
Advanced Microsoft Excel skills including knowledge of formulas and VLOOKUPs
1+ years' QNXT experience
Education - Bachelor's degree or equivalent experience

Preferred

Strong communication skills
Ability to trouble shoot technical and data issues
Ability to assist team members
Ability to offer process improvement ideas

Benefits

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

Company

CVS Health

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CVS Health is a health solutions company that provides an integrated healthcare services to its members.

H1B Sponsorship

CVS Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (1)

Funding

Current Stage
Public Company
Total Funding
$4B
Key Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity

Leadership Team

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David Joyner
President and Chief Executive Officer, CVS Health
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Chandra McMahon
SVP & CISO
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Company data provided by crunchbase