Senior Coordinator, Provider Data Services - Work From Home
Twin Falls, Twin Falls County, Idaho, 83303, USA
Listed on 2026-07-14
-
Business
Regulatory Compliance Specialist
Position Summary
Provides operational support and performs data maintenance and clean‑up for data transactions (basic to complex). In addition, performs more complex data transactions and maintenance associated with projects, expansions, and new product implementations. Works with other departments to ensure quality provider data to our members. May act in a lead role within the team.
- Maintains and updates provider demographic and contract information, including contractually sensitive or complex transactions, in appropriate systems in support of claims adjudication and provider directory.
- Works collaboratively with internal and external constituents to implement new networks and complex contractual arrangements.
- Provides technical and/or functional leadership support within the unit (i.e., team lead).
- Performs validation of system enhancements.
- Identifies, researches, and conducts root cause analyses (e.g., problem providers identified by PST, trends from routine PDS audits) and collaborates cross‑functionally within the organization to recommend process improvements.
- Conducts and manages audits of provider information and escalates issues for resolution as appropriate.
- Provider Data Services background (2‑4 years)
- Demonstrated ability to handle multiple assignments
- Demonstrated ability to facilitate meetings and make accurate records
- Proficient in Microsoft Office Applications with advanced skills in Excel
- Demonstrated success prioritizing work and the ability to multi‑task in a fast‑paced environment
- Demonstrated success in collaborating with others to meet/exceed expectations
- Experience providing clear and concise written and verbal communications
- Demonstrated ability to utilize analytical and independent thinking skills
- EPDB experience 2‑4 years
Associate’s degree or equivalent work experience
Anticipated Weekly Hours40
Time TypeFull time
Pay RangeThe typical pay range for this role is:
$18.50 – $42.35 per hour. 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.
benefits for great people
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. Benefits include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
#J-18808-Ljbffr(If this job is in fact in your jurisdiction, then you may be using a Proxy or VPN to access this site, and to progress further, you should change your connectivity to another mobile device or PC).