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Job Details


CVS Health

Claim Audit Quality Specialist

Pharmaceuticals

All

Full Time

On Site

No

Minnesota, United States

Job Description
Claim Audit Quality Analysts need to have a wide depth and breadth of knowledge of several different areas within Meritain. The role requires a high level of detail and review.
A candidate must become subject matter experts in claims, plan documents, eligibility, coverages, and quirks of multiple groups. Knowledge in all these areas is imperative to be an effective auditor. The QA analyst must be able to effectively manage their time and work in a high production environment, while maintaining high quality standards.

Pay Range
The typical pay range for this role is:
Minimum: 17.00
Maximum: 27.90

Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.

Required Qualifications
Strong attention to detail
Effective communicator
Quick learner
Able adapt quickly to change

Preferred Qualifications
Preferred Qualification:
- 1-2 years of DG experience
- Claim knowledge
- Detail Oriented

Education
High School

Business Overview
Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. 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. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.