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Medicaid Provider Data Service Senior Coordinator - Remote Eligible

Load and validate Medicaid provider data into QNXT ensuring accuracy and timely processing.
Remote
Junior
$18 – 39 USD / hour
3 days ago
CVS Health

CVS Health

Integrated healthcare services provider offering retail pharmacy, pharmacy benefits management, health insurance, and clinical care solutions across the U.S.

Aetna Better Health Of Texas Job Posting

At Aetna Better Health of Texas, we are committed to helping people on their path to better health. By taking a total and connected approach to health, we guide and support our members so they can get more out of life, every day. We are looking for people like you who value excellence, integrity, caring and innovation. As an employee, you'll join a team dedicated to improving the lives of Texas members. We value diversity and are dedicated to helping you achieve your career goals.

Position Summary

The Provider Data Services Senior Coordinator will have responsibility to support loading all Medicaid new and revised participating provider data transactions within Aetna/CVS source systems. What you will do:

  1. Daily activities include writing simple SQL queries and pull reports on both an ad hoc and production basis for analysis of data present in QNXT/Source systems
  2. Proactively define, identify and recommend process enhancements or modifications to support business strategic goals
  3. Candidate must be proficient in SQL, able to write and modify queries, interpret results, conduct root cause analysis (RCA), develop short and long-term solutions following through to completion
  4. Ability to adapt swiftly to ever changing data sequences and business needs
  5. Perform data compares
  6. Experience working with Large Data Sets
  7. Follows area protocols, standards, and policies to provide effective and timely support.
  8. Ability to learn quickly and work with minimal supervision
  9. Supports a positive team environment

Required Qualifications

  • 1-3 years experience using Microsoft Excel (VLOOKUp, XLookup, concanation, formulas, etc.)
  • 1-3 years experience using SQL
  • Proficiency with desktop software applications such as Microsoft Word, Teams and OneNote

Preferred Qualifications

  • 1 year of experience in Provider Data Services systems such as QNXT or Salesforce
  • Strong organizational skills & time management
  • Strong critical thinking and analytical skills
  • Strong verbal and written communication skills
  • Self-driven & strong work ethic
  • Possess a desire to learn and grow through tackling new challenges
  • Ability to adapt to a fast-paced working environment
  • Strong problem solving and data analysis skills
  • Innovative thinker who is not afraid to propose new ideas and alternative solutions to a problem

Education

  • High school diploma or 5 + years of relevant work experience in the healthcare industry.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

  • 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.

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Medicaid Provider Data Service Senior Coordinator - Remote Eligible
Remote
$18 – 39 USD / hour
Support
About CVS Health
Integrated healthcare services provider offering retail pharmacy, pharmacy benefits management, health insurance, and clinical care solutions across the U.S.