Provider Data Services, Senior Coordinator (Must reside in Arizona)

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

The Provider Data Services, Senior Coordinator is responsible for maintaining the accuracy, integrity, and completion of provider data across enterprise systems. This person supports provider onboarding, demographic maintenance, contract and affiliation updates, provider directory accuracy initiatives, and operational audits.

The Provider Data Services, Senior Coordinator serves as a subject matter resource, performs complex provider data research, resolves data discrepancies, coordinates with Network Management and other business partners, and ensures provider records comply with internal standards and regulatory requirements.

General Responsibilities

• Maintain and update provider demographic, affiliation, network participation, and credentialing-related information within provider data systems.
• Process provider additions, changes, terminations, and contract relationship updates in accordance with established procedures.
• Research and resolve provider data discrepancies, validation failures, and complex service requests.
• Coordinate with Network Management, Credentialing, Provider Relations, Operations, and other internal stakeholders to obtain missing information and ensure accurate provider records.
• Support provider directory accuracy initiatives and ensure provider information is maintained in accordance with regulatory and business requirements.
• Perform quality reviews, audits, and validation activities to ensure data integrity across systems.
• Serve as a subject matter expert and provide guidance to peers regarding provider data maintenance processes and system workflows.
• Monitor assigned work queues and meet departmental productivity, quality, and service level expectations.
• Identify trends and opportunities for process improvement and operational efficiency.
• Support special projects, system implementations, and regulatory readiness activities as assigned.
• Perform other duties as assigned.

Required Qualifications

• 1+ years of experience in provider data management, provider network administration, credentialing, and/or a related healthcare support function.
• 1+ years of experience maintaining and validating data and information within healthcare systems and databases, as well as working with established policies, procedures, and quality standards.
• Demonstrated proficiency with Microsoft Office applications, including Excel.
• Must reside in Arizona.

Preferred Qualifications

• Strong analytical and problem-solving skills, with the ability to research and resolve complex issues.
• Demonstrated attention to detail and commitment to data accuracy.
• Ability to manage multiple priorities in a fast-paced environment.
• Strong verbal and written communication skills.
• Ability to collaborate effectively with cross-functional partners and stakeholders.

• Experience working in a managed care, health plan, payer, or provider network environment.
• Knowledge of provider data systems such as QNXT, Facets, or similar provider maintenance platforms.
• Understanding of provider directory requirements, provider contracting, credentialing, and provider onboarding processes.
• Experience performing quality audits, data validation, and root cause analysis.
• Prior experience serving as a mentor, trainer, or subject matter expert.
• Knowledge of healthcare regulatory requirements related to provider data accuracy and maintenance.
• Experience supporting Medicaid, Medicare, or Commercial lines of business.

Education

• High school diploma or GED.

Anticipated Weekly Hours

Time Type

Pay Range

The typical pay range for this role is:

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.

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

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