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A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Provider Data Svcs Cnslt

Primary Location: Philadelphia, Pennsylvania
Additional Locations: PA-Philadelphia
Provides support for provider data transactions associated with projects, expansions, and new product implementations.
Resolves high volume/high impact systemic problems through proactive and reactive mechanisms (e.g. automation, route
audit programs, data reporting, root cause analysis).

Fundamental Components:
Identifies, researches and conducts root cause analyses (e.g. problem providers identified by PST, rework and audit
trends) and recommends process improvements.
Provides technical and/or functional leadership within unit (i.e., team lead).
Performs validation of system enhancements. Establishes, maintains and aligns complex contracted provider demographic data and negotiated reimbursement
arrangements across provider systems.
Creates and manages action plans for assigned projects relative to data quality and/or workflow improvements.
Ensures that all impacted constituents are considered and appropriately addressed in action plans.
Extract information from systems to meet business reporting needs

5+ Years of experience and knowledge of Provider Data Services systems and other end user applications.
1-2 years of project management experience.

The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience.

- Customer Service//4-6 Years
- Project Management//1-3 Years

General Business/Maximizing Work Practices/ADVANCED
Service/Creating a Differentiated Service Experience/ADVANCED
Service/Working Across Boundaries/FOUNDATION

General Business/Turning Data into Information/MASTERY
General Business/Applying Reasoned Judgment/MASTERY
Service/Handling Service Challenges/ADVANCED

Aetna is about more than just doing a job. This is our opportunity to re-shape healthcare for America and across the globe. We are developing solutions to improve the quality and affordability of healthcare. What we do will benefit generations to come.

We care about each other, our customers and our communities. We are inspired to make a difference, and we are committed to integrity and excellence.

Together we will empower people to live healthier lives.

Aetna is an equal opportunity & affirmative action employer. All qualified applicants will receive consideration for employment regardless of personal characteristics or status. We take affirmative action to recruit, select and develop women, people of color, veterans and individuals with disabilities.

We are a company built on excellence. We have a culture that values growth, achievement and diversity and a workplace where your voice can be heard.

Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Aetna takes our candidates's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests for information will be discussed prior and will be conducted through a secure website provided by the recruiter. Should you be asked for such information, please notify us immediately.

Click To Review Our Benefits (PDF)


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