Job Location: Delaware
– Research, manipulates and prepares complex data to document program activities and reports on its results. – Provides oversight to data quality and provides feedback to various areas in order to improve service delivery and enhancement to design efforts.
- Develops a consultative relationship with internal/external customers.
- May lead or act as a business technical expert with the planning, development and validation of master or detail test plans and strategies.
- Performs ongoing research, and support tasks for existing systems.
- Leads or acts as a business technical expert in the design of new applications or enhancements including integration of solutions.
- Provides Leadership/Coaching/Mentoring; may be a mentor to others.
- Directs the implementation of program specific information through education, technology, organizational methods and procedures.
- Influences enhancements to business processes and system infrastructure to improve data quality availability and access.
- Manages customer contact and participates in internal and external health industry development efforts (e.g., performance measurements).
- Analyzes complex data for trends, highlights in-depth interpretations and provides in-depth root cause analysis.
- Consults with client on a regular basis to ensure progress is in line with customer’s expectations and to obtain additional information as needed.
- Translates complex data into constructive data and information and makes recommendations.
- Defines, identifies, develops and implements information products to support strategic business and operational planning.
- Illustrates complex information in a clear concise manner.
- Develops and conducts presentations and consultations to existing and prospective customers and internal business areas.
- Provides workgroup support on projects.
- Educates customer on the value, use and interpretation of information product.
- Influences changes/enhancements to business processes, policies, and system infrastructure to improve information quality, availability and access.
- Evaluates available software and data to deliver better business solutions.
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
Working experience within Excel.
1-2 years experience reading, understanding and processing medical claims.
Working knowledge of reading and reviewing claim and coding types.
Excellent verbal and written communication skills.
- MS Office
- Healthcare background.
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
Remedy (Ticket Tracking) experience is a plus
QXNT Experience
Data Interpretation and analysis experience.
- Independent thinker.
- Self Starter.
- MS SQL experience is a plus.
- Extensive experience with databases as well interpretation and manipulation of related data.
- Working experience of QNXT a plus.
- 3-5+ years of data interpretation and analysis experience.
Education
Associate’s degree or equivalent 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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