C

Eligibility Analyst

CVS Health

🌍 Anywhere 🏠 Remote ⏱ Part-time 💼 Mid-level 🗓 1 weeks ago

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary CVS/Caremark, the Pharmacy Benefit Management (PBM) division of CVS Health, is looking for an Eligibility Analyst to join our Eligibility Administration Department. As an Eligibility Analyst for a Fortune 10 organization, you will impact and support customers in all areas including Commercial, Medicare, Medicaid, & Healthcare Plans. Primary responsibilities of the Eligibility Analyst include: Acting as a healthcare data subject matter expert on Eligibility guidelines and Electronic Data Interchange (EDI) protocol for clients Researching and consulting to improve healthcare data integrity and ensure excellent service delivery Constantly improving healthcare analytical skills that are needed to perform data analysis Resolving data enrollment issues on a daily basis Consulting on healthcare data needs Having exceptional time management and healthcare client management skills Continuous development training will be provided in this role to ensure the Eligibility Analyst is able to exceed client expectations in this fast-paced environment Required Qualifications 1+ year(s) in healthcare data eligibility, insurance, IT, benefits, or data analytics environment with a strong ability to work independently, problem solve, and analyze data in a confidential healthcare environment 2+ years customer service experience in a fast-paced environment Strong written and verbal communication skills Ability to communicate with business clients and stakeholders in a professional manner Preferred Qualifications 3+ years experience in eli...

Share this job: