Quality Specialist

Job description

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 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. Required Qualifications 1-2 years of Claims 1+ year(s) Knowledge of CPT codes 1+ year(s) Knowledge of ICD-10 codes Preferred Qualifications 3-4 years of claims Education High school Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is:$17.00 - $34.15This 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)…