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Provider Data Services, Senior Coordinator

Maintain accurate provider data to ensure seamless claims processing and network operations
Lansing, Michigan, United States
Senior
19 hours agoBe an early applicant
Michigan Staffing

Michigan Staffing

Michigan Staffing is not associated with the domain michigan.gov, which is the official government website for the state of Michigan.

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Cvs Health Job Posting

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

Automates and manually loads all new and revised participating provider data transactions. Manages and resolves third-party contracted reimbursement issues into applicable systems.

What You Will Do

  • Maintains and updates provider demographic and contract information in appropriate systems to support claims adjudication and provider directories.
  • Follows area protocols, standards, and policies to provide effective and timely support.
  • Coordinates with internal/external constituents to implement new networks and complex contractual arrangements.
  • Communicates directly with providers and/or outside vendors to clarify data quality issues. Manages audits of provider information to escalate issues for resolution as appropriate.
  • Takes direction to execute techniques, processes, and responsibilities.

Required Qualifications

  • 4+ years work experience in the Dental field, Provider Data Services (PDS) Network role, or Fee Schedules.
  • Strong problem-solving and decision-making abilities.
  • Ability to quickly learn new systems and processes.

Preferred Qualifications

  • Experience in a detail-oriented role.
  • Proficiency in Microsoft Office Suite (Outlook, Word, Excel, Access).
  • Experience with QuickBase.
  • High attention to detail and accuracy.
  • Ability to thrive in a production-driven environment.

Education

High school diploma or equivalent required.

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is: $18.50 - $35.29

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.

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.

We anticipate the application window for this opening will close on: 10/27/2025

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

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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Provider Data Services, Senior Coordinator
Lansing, Michigan, United States
Support
About Michigan Staffing
Michigan Staffing is not associated with the domain michigan.gov, which is the official government website for the state of Michigan.