Provider Data Service Senior Coordinator - NEF Team

CVS Health • Montgomery, AL • 2h ago

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.

NEF Team Role and Responsibilities:

Handles escalations submitted by Aetna Network Account Management team or the Aetna Provider Contact Center. Concerns submitted vary- Claim inquiries, Retro contract loads/pricing concerns, EDI transmissions, Delayed payments, etc.

Must be able to use all Meritain applications to review and respond effectively to the submitted inquiry.

Ability to effectively communicate findings to the submitter and or to other Meritain departments and Wholesale Operations.

Ability to handle an average case load of 20 - 30 tickets.

Occasional need to participate and present case findings during meeting.

Required Qualifications:

2 years healthcare industry experience specifically in provider relations or network experience.

Organizational skills due to case load.

Effectively use Excel.

Preferred Qualifications:

Salesforce Experience.

Education:

High School Diploma or GED.

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $42.35

This 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 our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 08/22/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Similar Jobs

Senior Product Manager, Matching

Datavant • Montgomery, AL • 4h ago

Management & Administrative

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is power...

4h ago

Go to Apply

Client Services and Administrative Support Consultant - Employee Assistance Program

CVS Health • Montgomery, AL • 7h ago

Management & Administrative

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 compan...

7h ago

Go to Apply

Manager, Regional Sales

EDB • Montgomery, AL • 8h ago

Management & Administrative

A Little About Us EDB provides a data and AI platform that enables organizations to harness the full power of Postgres for transactional, analytical, and AI workloads across any cloud, anywhere. EDB empowers enterprises...

8h ago

Go to Apply

Staff Product Manager - Managed Fleet Operations

The Hertz Corporation • Montgomery, AL • 1d ago

Management & Administrative

Job Description At Hertz, we are not just another rental car company-we're building the future of mobility. Our mission is to be at the forefront of mobility, building innovative transportation solutions in close partner...

1d ago

Go to Apply

Product Marketing Manager, Developer

Coinbase • Montgomery, AL • 1d ago

Management & Administrative

Ready to be pushed beyond what you think you're capable of? At Coinbase, our mission is to increase economic freedom in the world. It's a massive, ambitious opportunity that demands the best of us, every day, as we build...

1d ago

Go to Apply

Product Manager, Base Account

Coinbase • Montgomery, AL • 1d ago

Management & Administrative

https://base.org/ is planning to bring a million developers and a billion users onchain. We need your help to make that happen. We believe that the onchain platform is the most important builder platform since the intern...

1d ago

Go to Apply

SAP - Core Supply Chain - PP - QM - Senior Manager - Consulting - Location OPEN

EY • Montgomery, AL • 1d ago

Management & Administrative

Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY...

1d ago

Go to Apply

Regional Sales Manager, AMC - LA, MS, & AR

EBSCO Information Services • Montgomery, AL • 1d ago

Management & Administrative

EBSCO Information Services (EBSCO) delivers a fully optimized research experience, seamlessly integrated with a powerful discovery platform to support the information needs and maximize the research experience of our end...

1d ago

Go to Apply

Drayage Sales Account Manager

Ryder System • Montgomery, AL • 2d ago

Management & Administrative

Job Seekers can review the Job Applicant Privacy Policy by clicking here ( http://ryder.com/job-applicant-privacy-policy ) . Job Description : Summary A dynamic, results-driven sales leader utilized to expand drayage sal...

2d ago

Go to Apply

Global Marketing Manager (Partner Marketing)

Pearson • Montgomery, AL • 2d ago

Management & Administrative

About Pearson At Pearson, we believe that learning opens up opportunities, creating fulfilling careers and better lives. Our Enterprise Learning Solutions (ELS) team empowers organizations to upskill and reskill their wo...

2d ago

Go to Apply

Subscribe to get new jobs sent directly to you
(no charge, cancel anytime)

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.