CVS Health Job - 45441770 | CareerArc
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Company: CVS Health
Location: FL
Career Level: Associate
Industries: Retail, Wholesale, Apparel

Description

Job Description
Work From Home Anywhere is the U.S.

Performs quality audit for service operations for multiple products and platforms, specializing in claim processing.
Responsibilities include:
- Conduct standard quality reviews/audits to measure compliance with published policies, procedures, customer and regulatory guidelines
- Identify and distribute errors to business partners Subject matter expert on workflows, policies, systems requirements/enhancements daily operations and programs
- Support claim soft landing for onshore and offshore training classes by reviewing error trends and providing recommendations for additional training or move to production floor.
- Perform root cause analysis and/or analyze data to identify and communicate trends in day-to- day work (e.g., quality of results, efficiencies of processes, etc.)
- Responsible to support targeted quality audit projects.
- Report results and make recommendations e.g., training needs, quality controls and procedures, etc.
- Conduct specialized audits as requested to monitor and track customer and regulatory requirements. Provides workgroup support to projects
- May provide guidance or expertise to less experienced quality analysts
- Assist with the day-to-day maintenance and operations of assigned functional unit
- Under general supervision, perform more complex aspects of the various audit disciplines
- May report and forecast inventory and business activity results
- Recommend ideas for the development of quality control policies and procedures of own unit in the performance of specific job functions
- Administer business procedures ensuring compliance requirements are satisfied
- Develop and deliver training sessions following team guidelines
- Support the creation of communication strategies and presentations for both internal and external customers to educate and address continuous quality improvement initiatives

Pay Range
The typical pay range for this role is:
Minimum: 18.50
Maximum: 34.60

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
1+ years Domestic US (stateside) or non-US International claims experience
- ACAS claims processing experience
- Excellent detail orientation and organizational skills

Preferred Qualifications
- Prior experience in both Domestic US (stateside) and non-US International claims processing
- Claim audit experience
- 3 months minimum currently meeting quality metrics
- Experience with QuickBase and Office products, specifically Excel, Word, PowerPoint, Teams, and To Do

Education
High school diploma or equivalent.

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.


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