Job Location: Florida
Job Detail:
Responsibilities to include but limited to the following:
- Attends and leads Health plan meetings for CSRA to coordinate work with internal and external business partners to meet health plan requirements and SLAs
- Reviews and Approves all SCR/IIF/Change tickets for the assigned health plan
- Assists, coaches, and mentors Analysts in meeting requirements set for each change request.
- Responds to all Health Plan inquiries on claim and system related issues or questions.
- Assignment of Change Tickets to team analysts
Pay Range
The typical pay range for this role is:
Minimum: 60,300
Maximum: 130,000
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
- 3-5 years of Demonstrated leadership
- 3-5 years of project management experience
- 3-5 years of data interpretation and analysis experience
- Working knowledge of QXT, primarily with configuration
- Excellent verbal and written communication skills
- Demonstrated ability to effectively coordinate multiple projects simultaneously
- MS Office (Word, Access DB and Info Path etc.)
- Extensive experience with databases as well interpretation and manipulation of related data
Preferred Qualifications
- Claims experience
- Healthcare background
- MS SQL experience
- Remedy (Ticket Tracking) experience
- Bachelor’s degree, technical certification
Education
High School Diploma or equivalent GED and required 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. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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