About the role
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary
The Supervisor, Provider Data Services oversees day‑to‑day provider data maintenance activities supporting Mercy Care Plan operations. This role leads a fast‑paced team responsible for reviewing and submitting provider adds and changes, specifically within the QNXT system. In this capacity, they will be ensuring accuracy, timeliness, and compliance with CMS (Centers for Medicare & Medicaid Services) and AHCCCS (Arizona Health Care Cost Containment System) requirements.
Based on new contracts, network expansion, and routine provider updates, the Supervisor ensures provider data integrity across downstream functions, including member directories, claims adjudication, encounter submissions, and regulatory utilization reporting. The role provides operational oversight, coaching, and issue resolution while partnering with internal stakeholders to support business and regulatory needs.
Required Qualifications
- 1-2 years of experience working in provider data management, including work within a claims management system.
- 1–2 years of customer service and/or operational support experience.
- Must reside in Arizona.
Preferred Qualifications
- Hands‑on experience working with QNXT provider data.
- Medical claims processing experience.
- Medical billing knowledge.
- Basic SQL experience (1–2 years).
- Intermediate Microsoft Excel skills (1–2 years).
- Ability to manage multiple assignments accurately and efficiently in a fast‑paced environment.
- Strong analytical skills with attention to detail.
- Effective written and verbal communication skills.
Education
- High school diploma or GED.
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$43,888.00 - $85,068.00This 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Skills & Tags
Aplyr's read
CVS Health is a healthcare giant blending retail pharmacy with insurance services, ideal for those interested in diverse healthcare roles and innovation.
What's promising
- •CVS Health's integration of pharmacy and insurance offers diverse career paths.
- •Strong focus on healthcare innovation with initiatives like HealthHUB locations.
- •Extensive national presence provides job stability and opportunities for relocation.
What to watch
- •Recent layoffs in certain divisions raise concerns about job security.
- •High-pressure retail environment may lead to employee burnout.
- •Complex organizational structure can slow decision-making processes.
Why CVS Health
- •CVS Health's acquisition of Aetna uniquely positions it in both retail and insurance sectors.
- •HealthHUB stores offer a distinctive model combining retail and healthcare services.
- •CVS Caremark provides a robust platform for pharmacy benefits management.
Aplyr’s read is generated by AI from public sources. Was it useful?
About CVS Health
CVS Health is a healthcare company that provides a range of services including pharmacy benefits management, retail pharmacy, and health insurance services.
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