Job Location: Illinois
This Senior Financial Analyst, Claims Adjustment position focuses on claim adjustment processing; and responsibilities include the management and maintenance of assigned processes, process and procedure development, and the performance of analytical research
as required.
With respect to process management, the Financial Analyst, Claims Adjustment would own one or more assigned processes, and would have principal responsibility for assuring that Service Level process timelines are satisfied, for monitoring and tracking process performance, and for identifying and recommending opportunities for process improvement.
Regarding process and procedure development, the Financial Analyst, Claims Adjustment would be responsible for defining procedure tasks, for documenting both the process and its associated work instructions, and for successfully implementing this newly defined process. With respect to analytical research, this Claims Analyst would work with service requesters to understand the specific nature of the question being raised, would utilize proprietary tools to research these questions, and would the present the findings to the requester; assuring that the requester’s needs have been fully addressed.
This is a great position to both learn about various aspects of our business and to develop the foundation skills necessary for future, sustained success within our organization.
Pay Range
The typical pay range for this role is:
Minimum: 43,700
Maximum: 97,400
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
2+ years of financial operations experience
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
Preferred Qualifications
PBM (Prescription benefit Management) industry experience
- RxClaim Adjudication System experience
- Medicare Part D experience
- Experience with SQL (Structured Query Language) and SAP
- The ability to work with complex systems and to apply critical thinking skills
Education
Bachelor’s degree or equivalent work experience
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.
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