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CVS Health

Provider Data Services Specialist

CVS Health

Provider Data Services Specialist ensuring provider data accuracy and compliance with CMS and AHCCCS regulations. Managing provider records and coordinating updates in a fast-paced environment.

Posted 7/14/2026full-timeRemote • Arizona • 🇺🇸 United StatesJuniorMid-Level💰 $17 - $28 per hourWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates strong analytical skills and effective communication abilities while ensuring compliance with CMS and AHCCCS regulations. Proficient in managing provider records and utilizing SQL and Microsoft Excel for data accuracy and reporting.

Highest-signal resume keywords
SQLMicrosoft ExcelQNXTMedical Claims ProcessingMedical Billing

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
SQLMicrosoft ExcelData AnalysisProvider Record ManagementRegulatory Compliance
Soft Skills
Analytical SkillsWritten CommunicationOral Communication
Tools & Technologies
QNXT
Industry Keywords
CMS RegulationsAHCCCS RegulationsProvider DirectoryMedical Billing

Tech Stack

Tools & technologies
SQL

About the role

Key responsibilities & impact
  • Compare and contrast the provider system with network data and regulatory sources
  • Manage provider records for accuracy in the provider directory
  • Review and submit requests to update the provider module for adds/changes
  • Research updates to ensure compliance with CMS and AHCCCS regulations
  • Utilize standard data elements for provider data to feed member directories and regulatory reports

Requirements

What you’ll need
  • 1-2 years of experience in customer service
  • Must reside in Arizona
  • Strong analytical and written/oral communication skills
  • 1-2 years of experience with SQL
  • 1-2 years of experience in Microsoft Excel
  • Previous experience working with QNXT
  • Previous experience with medical claims processing
  • Previous knowledge of medical billing

Benefits

Comp & perks
  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • other resources, based on eligibility