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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

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$43,888.00 - $85,068.00

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 05/11/2026

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