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.

Position Summary
This position will be the claims subject matter expert, as well the primary resource for problem solving, program testing and analysis and input of data as required, for all areas within the claims operations unit.  The position will also act as the technical liaison between the claims operations area and other areas within the company that affect operations day to day functionality. Other areas of responsibility will include training, involvement in escalated issues as needed, documentation, etc. This position will assist ongoing in the analyzing of departments ongoing programming needs, recommend enhancements, etc and work with claims staff in the development of such enhancements, testing, documenting, upgrading, etc.   

Required Qualifications
•    2-3 years Data General(DG) Platform

Ability to work well independently as well within a team environment.

•    Creative problem solving skills
•    Strong planning, organizational, analytical, decision-making, and prioritization skills.
•    Strong oral and written communication skills.
•    Self starter who is capable of working independently.
•    Ability to work effectively with and sell ideas to the various business units for improvement of workflow processes in the Claims department as well as throughout the company.
•    Ability to handle multiple tasks at the same time.

• Intermediate Microsoft Excel

Preferred Qualifications
•    Knowledge of medical claims processing
•    Microsoft office products, excel, word, etc

* 5 years insurance industry experience

Education
High school

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $102,000.00

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 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: 03/27/2025

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