Provider Data Services Specialist (Arizona)

Posted Yesterday
Be an Early Applicant
Country Home Mobile Village, Buckeye, AZ, USA
In-Office
17-28 Hourly
Junior
Fitness • Healthtech • Retail • Pharmaceutical
The Role
Perform routine provider data entry and intake triage to maintain provider directory for claims adjudication. Audit provider information, respond to inquiries, support change management, and assist Finance/Underwriting teams under general supervision.
Summary Generated by Built In

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.

Position Summary

  • Follows established procedures to execute routine business support tasks for the Data Services function, under general supervision.
  • Supports the Finance department, interacting with key Underwriting and Account Management specialists for optimal deliverables.
  • Enters baseline demographic transactions into the provider directory to support claim adjudication procedures and progress.
  • Performs data service intake triage, subsequently reviewing details to effectively respond to customer/member inquiries.
  • Conducts regular audits of provider information, escalating any issues or concerns to management for swift resolution.
  • Supports Data Services Change Management and Process Optimization strategies, in order to achieve optimal outcomes.
  • Takes direction from management to properly understand and execute key work area techniques, processes, and responsibilities.
  • Responds to auditor data requests, questions, and discrepancies, in order to ensure collective data integrity and quality of work.
  • Performs other duties as assigned.

Required Qualifications

  • At least 1 year of healthcare and/or data entry experience.
  • Demonstrated proficiency in Microsoft Office applications (Teams, Excel, Word, etc.).

Preferred Qualifications

  • Resides in Arizona.
  • Previous experience with SQL and QXNT.
  • Intermediate proficiency in Microsoft Excel, working with formulas and large data sets.
  • Working knowledge of problem solving and decision-making skills.
  • Strong attention to detail.
  • Excellent organization and time management skills.
  • Basic communication skills.
  • Strong desire to grow and learn, with a curious and investigative nature.

Education

  • High school diploma or GED.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$17.00 - $28.46

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on
Benefits Moments.

We anticipate the application window for this opening will close on: 08/07/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Skills Required

  • At least 1 year of healthcare and/or data entry experience
  • Demonstrated proficiency in Microsoft Office applications (Teams, Excel, Word, etc.)
  • High school diploma or GED
  • Resides in Arizona
  • Previous experience with SQL
  • Previous experience with QXNT
  • Intermediate proficiency in Microsoft Excel, working with formulas and large data sets
  • Working knowledge of problem solving and decision-making skills
  • Strong attention to detail
  • Excellent organization and time management skills
  • Basic communication skills
  • Strong desire to grow and learn, with a curious and investigative nature
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
HQ: Woonsocket, RI
119,959 Employees
Year Founded: 1963

What We Do

CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.

Similar Jobs

Wipfli Logo Wipfli

Data Architect

Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
Remote or Hybrid
United States
3000 Employees
142K-191K Annually

Wipfli Logo Wipfli

Assistant Controller

Cloud • Fintech • Software • Business Intelligence • Consulting • Financial Services
Remote or Hybrid
United States
3000 Employees
73K-98K Annually

Liberty Mutual Insurance Logo Liberty Mutual Insurance

Inside Sales Representative

Artificial Intelligence • Fintech • Insurance • Marketing Tech • Software • Analytics
Remote or Hybrid
9 Locations
40000 Employees
55K-75K Annually

Mondelēz International Logo Mondelēz International

Product Owner

Big Data • Food • Hardware • Machine Learning • Retail • Automation • Manufacturing
Remote or Hybrid
United States
90000 Employees
140K-193K Annually

Similar Companies Hiring

Scotch Thumbnail
Artificial Intelligence • eCommerce • Fintech • Payments • Retail • Software • Analytics
US
35 Employees
OneImaging Thumbnail
Healthtech
Miami, FL
62 Employees
Golden Pet Brands Thumbnail
Digital Media • eCommerce • Information Technology • Marketing Tech • Pet • Retail • Social Media
El Segundo, California
178 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account