
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
🔥 0 minutes ago
🏈 Alabama, Arizona, +43 more states – Remote
💵 $17 - $25 / hour
⏰ Full Time
🟢 Junior
🟡 Mid-level
🚫👨🎓 No degree required
👻 Ghost score 0%
Where this job comes from
Posted on CVS Health's careers page, not through a job board
First seen by Remote Rocketship 0 minutes ago

10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
• Develop and execute comprehensive testing processes for system enhancements and new products and processes covering claims, enrollment, provider contracts, and benefits administration • Create and execute defined unit testing processes to provide quality audits for vendor contracts before implementation • Assist with testing simple system enhancements • Prepare and execute comprehensive test plans and test scripts to audit vendor contracts and maintain quality and accuracy • Verify system functions according to user requirements and established guidelines • Follow standardized best practices for documenting and executing simple to moderately complex test plans • Validate test results, document discrepancies, and follow through with resolutions • Report problem-resolution progress to management • Communicate test outcomes to end users for sign-off • Serve as liaison between system end users and the IT team • Perform other duties as required
• 2+ years related experience in a service center medical claims (not RX claims) processing or managed care operational role • 1 year recent and related system processing, payment, and benefits experience, preferably IDX managed care • Broad knowledge of medical terminology, claims, customary and reasonable cost containment, coordination of benefits, diagnosis coding, and general customer services sources • Excellent verbal and written communication skills • High School Diploma or GED • Preferred: QNXT managed care
• CVS Health bonus, commission or short-term incentive program in addition to base pay • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being, based on eligibility
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