Credentialing Specialist
- 1930 CVS Rx Services, Inc.
- TN - Franklin
- 3w ago
- Full-Time
- Hybrid
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:
Reviews analyzes, evaluates, validates provider/producer information against business/credentialing requirements and maintains information on Credentialing databases. Supports extensive research and analysis of sensitive provider/producer issues; addresses data integrity issues.
Job Description
Assist with reviewing, analyzing, and validating provider/producer information to ensure it meets credentialing and business requirements
Maintain and update provider/producer records in credentialing databases with a high level of accuracy
Support research and review of provider/producer information, escalating sensitive or complex issues as needed
Help identify and correct data discrepancies to support overall data integrity and compliance
Handle confidential and sensitive information with professionalism, discretion, and care
Organize and prioritize assigned tasks to meet deadlines in a fast-paced environment
Draft and respond to basic professional correspondence, including emails and routine notices
Communicate effectively with providers, internal staff, and management under guidance and supervision
Work independently on routine tasks while seeking guidance for new or complex issues
Use Microsoft Office applications (Word, Excel, Access) and internet resources to research and maintain information
Demonstrate strong attention to detail and willingness to learn credentialing policies, procedures, and systems
Required Qualifications:
6+ months experience researching and analyzing data.
6+ months experience working with Microsoft Office applications (Word, Excel, Access) and internet resources.
Ability to work reliably, prudently, and tactfully with confidential information.
Ability to organize and prioritize work and manage multiple priorities.
Excellent verbal and written communication skills including, letters, memos, and emails.
Preferred Qualifications:
Ability to work independently on routine tasks
Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
College degree or equivalent work experience
Education:
High School Diploma required
Anticipated Weekly Hours
40Time Type
Full timePay Range
The typical pay range for this role is:
$17.00 - $28.46This 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.