Medicaid Provider Data Service Senior Coordinator
About the position 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. 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.
Responsibilities
- 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
- Proactively define, identify and recommend process enhancements or modifications to support business strategic goals
- 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
- Ability to adapt swiftly to ever changing data sequences and business needs
- Perform data compares
- Experience working with Large Data Sets
- Follows area protocols, standards, and policies to provide effective and timely support.
- Ability to learn quickly and work with minimal supervision
- Supports a positive team environment
Requirements
- 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
- High school diploma or 5 + years of relevant work experience in the healthcare industry.
Nice-to-haves
- 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
Benefits
- 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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