Aetna

Provider Data Services

Aetna

12025 N 32nd St, Phoenix, AZ 85028, USA
Full-TimeDepends on ExperienceSenior LevelMasters
Job Description

Are you passionate about ensuring data accuracy and integrity? Do you thrive in a fast-paced and dynamic work environment? Look no further, because Aetna is seeking a detail-oriented and highly motivated individual to join our team as a Provider Data Services Specialist. As a key member of our Provider Data Services department, you will play a crucial role in maintaining the accuracy and completeness of provider data, which is essential for delivering quality healthcare services to our members. If you have a strong attention to detail, excellent communication skills, and a desire to make a positive impact in the healthcare industry, read on to learn more about this exciting opportunity.

  1. Ensure accuracy and integrity of provider data by conducting thorough and regular audits.
  2. Collaborate with various departments and teams to gather, verify, and update provider information.
  3. Monitor and resolve any data discrepancies or errors in a timely manner.
  4. Communicate any data issues or concerns to the appropriate teams and follow through on resolution.
  5. Maintain up-to-date knowledge of healthcare regulations and requirements related to provider data.
  6. Utilize data management systems and tools to enter, update, and maintain provider data.
  7. Assist in the development and implementation of processes and procedures to improve data accuracy and efficiency.
  8. Respond promptly and professionally to inquiries and requests related to provider data.
  9. Participate in training and development opportunities to enhance data management skills and knowledge.
  10. Contribute to the overall success of the Provider Data Services department by actively seeking out ways to improve processes and systems.
Where is this job?
This job is located at 12025 N 32nd St, Phoenix, AZ 85028, USA
Job Qualifications
  • Bachelor's Degree In Healthcare Administration, Business Administration, Or A Related Field.

  • Minimum Of 2-3 Years Experience Working In Provider Data Management Or Healthcare Operations.

  • Proficiency In Database Management And Data Analysis.

  • Strong Understanding Of Healthcare Regulatory Compliance And Data Privacy Laws.

  • Excellent Communication And Interpersonal Skills, With The Ability To Effectively Collaborate With Internal And External Stakeholders.

Required Skills
  • Quality Assurance

  • Data Analysis

  • Contract Negotiation

  • Data Management

  • Claims Processing

  • Network analysis

  • Credentialing

  • Provider Relations

  • Provider Education

  • Provider Enrollment

  • Provider Outreach

  • Provider Database

Soft Skills
  • Communication

  • Conflict Resolution

  • Emotional Intelligence

  • Leadership

  • Time management

  • creativity

  • Teamwork

  • Adaptability

  • Problem-Solving

  • Decision-making

Compensation

According to JobzMall, the average salary range for a Provider Data Services in 12025 N 32nd St, Phoenix, AZ 85028, USA is $60,000-$80,000 per year. However, this can vary depending on the specific job title, experience level, and company. Some roles in this field, such as a Provider Data Analyst, may have a higher salary range of $70,000-$90,000 per year. Additionally, factors such as location, industry, and demand can also affect salary ranges.

Additional Information
Aetna is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Required LanguagesEnglish
Job PostedMarch 13th, 2025
Apply BeforeJune 21st, 2025
This job posting is from a verified source. 

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About Aetna

Aetna Inc. is an American managed health care company that sells traditional and consumer directed health care insurance and related services, such as medical, pharmaceutical, dental, behavioral health, long-term care, and disability plans, primarily through employer-paid (fully or partly) insurance and benefit programs, and through Medicare. Since November 28, 2018, the company has been a subsidiary of CVS Health.

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