Skip to main content

Aetna is now a CVS Health Company

Provider Data Services Consultant

Primary Location: Princeton, NJ
Additional Locations: NJ-Princeton
  • 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.
  • 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.
  • Provides technical and/or functional leadership within unit (i.e., team lead).
  • Performs validation of system enhancements. Extract information from provider systems to meet business reporting needs (i.e., DAF reports, fee schedule reports, Service Center Log.

Background Experience:
  • 5+ Years of experience and knowledge of Provider Data Services systems and other end user applications.
  • 1-2 years of project management experience.
  • Bachelor's degree or equivalent and 3+ years of relevant experience preferred.

Potential Telework Position:

Percent of Travel Required:
0 - 10%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

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

Candidate Privacy Information:
Aetna takes our candidate'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)


Jobs for you

Recently Viewed Jobs

You do not have any recently viewed jobs

Your Saved Jobs

You do not have any saved jobs

Sign up for Job Alerts

Join our Talent Community

At Aetna, we are pioneering a total approach to health and wellness and we need talented candidates like you to join our team. Become a member of our talent community to be the first to know about career initiatives that match your skills and interests as they become available, in addition to details on upcoming events, networking opportunities, and news about Aetna.

Join Our Talent Community

Sign up to receive information about job openings that are tailored to your skills and interests. Plus, get the latest career news from Aetna.