Our Ability Jobs

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.

Position Summary

*Proactively identify errors and assist in correcting both internal and external rejects in an accurate and timely manner according to regulations

*Prepare, validate, submit, load, track, and log 837 encounter files and response files in accurate and timely manner according to state and federal regulations

*Assist and lead in the development of documentation to support encounter validation and team processes

*Support encounter vendor relation activities and implementations

*Contribute to activities such as analysis, planning, design, development, testing, installation and maintenance of software systems and workflows for business areas

*Assists in the definition, implementation, and rollout of vendor/customer products

*Analyze data for trends and translates data into meaningful information

*Understand nuances of data, checks for reasonability, and works to improve data quality

*Provide analysis of business implications and applies problem solving skills to meet business needs

*Creatively translates information using business knowledge and identifies additional information needed to support analytical objectives

• Interact with internal/external customers to define/develop requirements and resolve issues

*Participate in the presentation of information to customer and internal business areasRequired Qualifications

• 2-3 years of experience preparing, validating, submitting, loading, and logging 837 encounter files and response files

• 2+ years of relevant programming or analytic experience.

• Strong written and verbal communication skills

• Candidate should be familiar with the HIPAA transaction sets, claims processing and encounters.

• Should have ability to move multiple projects forward simultaneously and be responsible for the results even when others are directly accountable for the outcome.

• Ability to establish effective business relationships with internal and external constituents a must

Preferred Qualifications * Edifecs and healthcare experience Education

• High School Diploma Req

Pay Range

The typical pay range for this role is:

$43,700.00 - $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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 06/16/2024

We are an equal opportunity and affirmative action employer. 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.